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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.
Case Reports in Gastroenterology
|January 19, 2023
Summary
Hepaticoduodenostomy offers a viable alternative for managing impacted distal common bile duct stones, particularly when sepsis is present. This case demonstrates a successful hepaticoduodenotomy in a low-resource setting, resolving distal biliary obstruction post-cholecystectomy.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Surgical Management of Biliary Tract Diseases
Background:
- Retained and impacted distal common bile duct (CBD) stones pose significant clinical challenges, often requiring surgical intervention.
- Traditional choledochoduodenostomy may be associated with complications, especially in the context of sepsis or low-resource environments.
- Distal biliary obstruction can lead to complications such as cystic duct stump dehiscence following cholecystectomy.
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