6 research outputs found
Inadvertent Gallbladder Stenting During Endoscopic Management of Choledocholithiasis Detected During Laparoscopic Cholecystectomy: A Case Report
No full textEndoscopic retrograde cholangiopancreaticography (ERCP) is the standard management protocol for choledocholithiasis, which more often than not involves a placement of stent in the common bile duct. Here we present a case of inadvertent stenting of the cystic duct and gallbladder during ERCP for choledocholithiasis which was detected during laparoscopic cholecystectomy. A 38 year old lady presented with jaundice and right upper quadrant pain, diagnosed with choledocholithiasis, underwent ERCP with stenting and stone extraction. After 6 weeks, she underwent laparoscopic cholecystectomy, when it was noticed that the biliary stent was inadvertently placed into the cystic duct and gallbladder. The stent was removed laparoscopically through a rent in the gallbladder and cystic duct stump clipped. We report this case to enhance awareness amongst surgeons regarding the unintended location of a biliary stent
Jejunojejunal Intussusception Induced by Lipomatous Polyp of Jejunum
No full textAdult intussusception is rare unlike childhood variety where it is the leading cause of intestinal obstruction. Preoperative diagnosis is often difficult as the symptoms are nonspecific and so high index of suspicion is needed for early diagnosis by appropriate investigations. This is a case of 65-year-old man presented with acute intestinal obstruction whose laparotomy revealed a jejunojejunal intussusception secondary to a lipomatous lesion which was successfully treated with resection and primary anastomosis. When dealing with a case of chronic intermittent intestinal obstruction, intussusception must be kept in mind as one of the differential diagnosis
