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Updated: Aug 14, 2025

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Impacted Common Bile Duct Stone Managed by Hepaticoduodenostomy
Elroy Patrick Weledji1,2, Ndiformuche Zikirou Mbengawoh2, Frank Zouna2,3
1Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Abstract:
A bypass procedure such as a hepaticoduodenostomy may be an alternative to the traditional choledochoduodenostomy in the management of the retained, impacted distal common bile duct (CBD) stone, especially in the presence of sepsis. We present herein a hepaticoduodenotomy performed for a retained, impacted distal CBD stone in a low-resource setting with a good outcome. This impacted stone had complicated an open cholecystectomy for acute cholecystitis by causing the dehiscence of the cystic duct stump as a result of distal biliary obstruction.
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