Open AccessArterio-Duodenal Fistula: A Rare Complication of Laparoscopic Choledochal Cyst Excision
Author(s) -
Pawan Kumar Garg,
Pushpinder Singh Khera,
Manish Pathak,
Galib Mirza,
Rahul Saxena,
Taruna Yadav
Publication year - 2021
Publication title -
journal of indian association of pediatric surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/jiaps.jiaps_56_20
Subject(s) - medicine , choledochal cysts , surgery , complication , fistula , perioperative , intrahepatic bile ducts , biliary tract , cyst , disseminated intravascular coagulation , biliary fistula , bile duct
Choledochal cysts (CDC) are rare biliary tract anomalies characterized by congenital dilatation of the extrahepatic and/or intrahepatic bile ducts. CDC excision with hepatico-enterostomy is the preferred surgery in modern era. Perioperative blood loss in a case of laparoscopic choledochal cyst excision (LCCE) is usually minimal and managed by conservative treatment such as blood transfusion and correction of coagulation factors. Massive hemorrhage in LCCE is rare and reported intraoperatively or within the first 3 postoperative days. Hereby, we present an unusual case of arterio-duodenal fistula, post LCCE presenting as delayed massive upper gastrointestinal bleeding in a male child and its successful endovascular management.