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Crescent Gastroliver & General Hospital
Brig. Gen. Prof. SK Bahar Hussain

MBBS, FCPS (Med), FRCP (Edin)

FRCP (Glasgow), FACP (USA)

Fellow Gastro (Shanghai)

Ex.Professor of Gastroenterology

CMH, Dhaka

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.