Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis

A clinical case of surgical management of patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis is presented. The patient was 57 years old woman. Anamnesis of the disease: in 2016, biliodigestive anastomosis was performed due to iatrogenic damage of the bil...

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Main Authors: A. Yu. Korolkov, D. N. Popov, A. O. Tantsev, T. O. Nikitina, S. F. Bagnenko
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2021-12-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/1783
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author A. Yu. Korolkov
D. N. Popov
A. O. Tantsev
T. O. Nikitina
S. F. Bagnenko
author_facet A. Yu. Korolkov
D. N. Popov
A. O. Tantsev
T. O. Nikitina
S. F. Bagnenko
author_sort A. Yu. Korolkov
collection DOAJ
description A clinical case of surgical management of patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis is presented. The patient was 57 years old woman. Anamnesis of the disease: in 2016, biliodigestive anastomosis was performed due to iatrogenic damage of the biliary tract. She was admitted to the hospital with complaints of the right upper abdomen pain, accompanied by chills, jaundice, and fever up to 39°C. The examination revealed a stricture of a previously formed biliodigestive anastomosis complicated by multiple intrahepatic cholelithiasis. Surgical intervention was performed: at the first stage – percutaneous transhepatic cholangiostomy; at the second stage – laparotomy, separation of hepaticojejunoanastomosis, intraoperative cholangioscopy with lithoextraction, resection of a small bowel section with a Brownian anastomosis, post-colon hepaticojejunostomy on a disconnected loop and replaceable transhepatic drains (Smith-Praden-Saypol-Kurian).
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publishDate 2021-12-01
publisher Pavlov First Saint Petersburg State Medical University
record_format Article
series Вестник хирургии имени И.И. Грекова
spelling doaj-art-b1fe2ed932a54bbfa227e65dc2e4bae42025-08-20T03:02:28ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252021-12-011804828510.24884/0042-4625-2021-180-4-82-851297Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasisA. Yu. Korolkov0D. N. Popov1A. O. Tantsev2T. O. Nikitina3S. F. Bagnenko4Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityA clinical case of surgical management of patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis is presented. The patient was 57 years old woman. Anamnesis of the disease: in 2016, biliodigestive anastomosis was performed due to iatrogenic damage of the biliary tract. She was admitted to the hospital with complaints of the right upper abdomen pain, accompanied by chills, jaundice, and fever up to 39°C. The examination revealed a stricture of a previously formed biliodigestive anastomosis complicated by multiple intrahepatic cholelithiasis. Surgical intervention was performed: at the first stage – percutaneous transhepatic cholangiostomy; at the second stage – laparotomy, separation of hepaticojejunoanastomosis, intraoperative cholangioscopy with lithoextraction, resection of a small bowel section with a Brownian anastomosis, post-colon hepaticojejunostomy on a disconnected loop and replaceable transhepatic drains (Smith-Praden-Saypol-Kurian).https://www.vestnik-grekova.ru/jour/article/view/1783surgerystricturebiliodigestive anastomosischolelithiasisintrahepatic lithiasis
spellingShingle A. Yu. Korolkov
D. N. Popov
A. O. Tantsev
T. O. Nikitina
S. F. Bagnenko
Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis
Вестник хирургии имени И.И. Грекова
surgery
stricture
biliodigestive anastomosis
cholelithiasis
intrahepatic lithiasis
title Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis
title_full Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis
title_fullStr Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis
title_full_unstemmed Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis
title_short Surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis
title_sort surgical management of a patient with biliodigestive anastomosis stricture complicated by multiple intrahepatic lithiasis
topic surgery
stricture
biliodigestive anastomosis
cholelithiasis
intrahepatic lithiasis
url https://www.vestnik-grekova.ru/jour/article/view/1783
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AT dnpopov surgicalmanagementofapatientwithbiliodigestiveanastomosisstricturecomplicatedbymultipleintrahepaticlithiasis
AT aotantsev surgicalmanagementofapatientwithbiliodigestiveanastomosisstricturecomplicatedbymultipleintrahepaticlithiasis
AT tonikitina surgicalmanagementofapatientwithbiliodigestiveanastomosisstricturecomplicatedbymultipleintrahepaticlithiasis
AT sfbagnenko surgicalmanagementofapatientwithbiliodigestiveanastomosisstricturecomplicatedbymultipleintrahepaticlithiasis