ASGE DDW Videos from Around the World | 2025-CHOLANGIOSCOPIC RECONSTRUCTION OF A PARTIALLY TRANSECTED BILE DUCT DUE TO POST-CHOLECYSTECTOMY INJURY

CHOLANGIOSCOPIC RECONSTRUCTION OF A PARTIALLY TRANSECTED BILE DUCT DUE TO POST-CHOLECYSTECTOMY INJURY

Video Transcription

Video Summary

This case study discusses the use of cholangioscopy for reconstructing a partially transected bile duct following a post-cholecystectomy injury in a 46-year-old woman. After complications from a laparoscopic cholecystectomy led to biliary obstruction and cholangitis, an initial ERCP provided only mild improvement. Subsequent direct cholangioscopy revealed a large wall defect and allowed selective cannulation and drainage of the bile ducts. Three plastic stents were placed, resulting in the patient's stable recovery and resolution of symptoms. The case highlights cholangioscopy's value in effectively managing complex bile duct injuries post-surgery.

Asset Subtitle

Rizwan Ahamed

Keywords

cholangioscopy

bile duct injury

post-cholecystectomy

ERCP

biliary obstruction