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Crescent Gastroliver & General Hospital
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Crescent Gastroliver & General Hospital

25/i Green Road [Eastern end of Dhanmondi Road #7]
Dhanmondi, Dhaka-1205, Bangladesh.
Tel : +88029671571, +880258615134
Hotline: +8801926100100
Email : info@crescentgastroliver.com | Website: http://crescentgastroliver.com


ERCP management in Bile duct injury

It was really a tough case. The pt had Lap Chole on 15 Nov, Bile duct injury happened then. Everybody missed it. She had pain, nausea+vomiting since then. She was a bit icteric. Ascites was discovered on USG (collection), and it was aspirated. Operating surgeon, Internal medicine specialist was following up. Finally a `would be Gastroenterologist' saw her, got a MRCP done. It revealed stricture at CBD, dilated CHD & IHBT, and evidence of bile leakage at the level of cystic duct. It wasn't easy to cannulate, and we could negotiate the guide wire upto CHD+IHBT with difficulty. Finally we put a 10frX10cm plastic biliary stent and free flow of bile was established.