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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
259
Recurrent cholangitis after choledochoduodenostomy: A case report
Julianus Aboyaman Uwuratuw1, Bustaman Bakhtiar2, Ibrahim Labeda3
1Division of Digestive, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia; Division of Digestive, Department of Surgery, Primaya Hospital, Makassar, Indonesia.
International Journal of Surgery Case Reports
|March 6, 2022
Summary
Recurrent cholangitis, a complication of choledochoduodenostomy (CDD), can be effectively treated. A modified Roux-en-Y choledochojejunostomy successfully resolved symptoms by improving biliary drainage.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
Background:
- Recurrent cholangitis is a significant complication following choledochoduodenostomy (CDD), occurring in 2.5-15.7% of cases.
- Inadequate biliary drainage from side-to-side CDD can lead to bile duct 'sumping,' debris accumulation, and recurrent infections.
Purpose of the Study:
- To highlight the importance of prompt diagnosis and effective treatment for recurrent cholangitis post-CDD.
- To present a case demonstrating successful management of recurrent cholangitis.
Main Methods:
- A patient with a history of recurrent right upper abdominal pain was diagnosed with recurrent cholangitis after CDD.
- Treatment involved closure of the CDD and a modified Roux-en-Y choledochojejunostomy for improved biliary drainage.
Main Results:
- The patient's recurrent cholangitis was successfully treated by the surgical intervention.
- The modified Roux-en-Y choledochojejunostomy effectively addressed the inadequate biliary drainage issue.
Conclusions:
- Recurrent cholangitis post-CDD is linked to impaired bile flow and 'sump' formation in the distal common bile duct.
- Surgical correction with modified Roux-en-Y choledochojejunostomy is a viable strategy to prevent recurrent cholangitis by enhancing biliary drainage.
