Open AccessHEPATIC-COLD-DUODENAL FROM AS A COMPLICATION OF MIRASIS SYNDROME
Author(s) -
M. S. Hnatyuk,
M. Lanskorunsky,
V. Yu. Bodyaka,
S. I. Shevchenko,
Dmytro Volodymyrovych Kryvoruchko,
Yu. Ya. Chuprovskaya,
Yu. P. Petruk,
S. I. Raychuk
Publication year - 2020
Publication title -
klìnìčna anatomìâ ta operativna hìrurgìâ
Language(s) - English
Resource type - Journals
eISSN - 1993-5897
pISSN - 1727-0847
DOI - 10.24061/1727-0847.18.1.2019.18
Subject(s) - medicine , duodenum , fibrous joint , surgery , jaundice , biliary tract , fistula , complication , gastroenterology
This article presents a clinical case of surgical treatment of hepatico-choledochal-duodenal fistula, which arose as a result of possible formation and resolution of a hepatic abscess after surgical treatment of Mirizzi syndrome. During the audit, there was a pronounced adhesive process in the area of the liver gate into which the hepatic-duodenal ligament and the duodenum were involved. A defect of the duodenal wall and bile leakage from the extrahepatic bile ducts were revealed after performing viscerolysis. The defect of the wall of the duodenum is sutured with a double row suture and a hepaticoynoanastomosis is formed on the loop behind Ru. Analyzing this clinical case, we should draw some conclusions: In case of development of postoperative complications in Mirizzi syndrome, in the form of chronic cholangitis, jaundice in which conservative therapy is ineffective, methods of surgical correction should be preferred. In case of doubt about the ability of the sutures and the future patency of the extrahepatic biliary tract, the surgical treatment of Mirizzi syndrome should be given preference for hepaticooynomy.