An unusual cause of bilioenteric anastomotic dysfunction after iatrogenic bile duct injury

Miguel Ángel Mercado*, Daniel Borja-Cacho, Ismael Domínguez, Eduardo Carrillo Maravilla, Norberto Sánchez, Eli Zavaleta-Martínez, Arturo Ramírez-Muciño, Alexandra Barajas-Olivas, Ricardo Arceo-Olaiz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Roux en Y hepatojejunostomy is the surgery of choice for bile duct repair. Anastomotical dysfunction after reconstruction has several etiopathologies. Besides technical factors, ischemia of the duct is responsible for late obstruction. Bile colonization with secondary stones and sludge can also be identified as a cause. An unusual cause of anastomotical dysfunction secondary to ascaris biliary infestation after biliary reconstruction is reported herein. The patient had intermittent cholangitis and eosinophilia. At operation, the worm was found obstructing the anastomosis.

Original languageEnglish (US)
Pages (from-to)120-122
Number of pages3
JournalAnnals of Hepatology
Volume5
Issue number2
StatePublished - Jun 19 2006

Keywords

  • Bile duct injury
  • Biliary ascaris
  • Hepatojejunostomy

ASJC Scopus subject areas

  • Hepatology

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