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Intraoperatively malpositioned stent as a complication of common bile duct injury during laparoscopic cholecystectomy
Ann Hepatobiliary Pancreat Surg 2019 Feb;23(1):84-6
Published online February 28, 2019;
Copyright © 2019 Korean Association of Hepato-Biliary-Pancreatic Surgery.

Timur Özdemir1, Anne Schmitt2, Manuela Cesaretti1,3, Alban Zarzavadjian Le Bian1,4, and Long R Jiao2

1Digestive Surgery Unit, Simone Veil General Hospital, Eaubonne, France, 2HPB Surgery Unit, Hammersmith Hospital, NHS/Imperial College, London, UK, 3HPB Surgery and Liver Transplantation Department, Beaujon Hospital, Clichy, 4Digestive Surgery and Surgical Oncology, Hôpital Avicenne, Assistance Publique - Hôpitaux de Paris, Paris, France
Received May 24, 2018; Revised June 14, 2018; Accepted June 29, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Injuries occurring during laparoscopic bile duct exploration in the course of laparoscopic cholecystectomy may represent threatening complications and lead to inappropriate management. We present a case of patient with biliary colic who underwent laparoscopic cholecystectomy. During the procedure, a common bile duct injury occurred, compelling conversion to open approach, and the patient was treated using a manually inserted biliary stent. She was referred with severe right upper quadrant pain six weeks after the surgery. Investigation with endoscopic retrograde cholangiopancreatography showed a malpositioned biliary stent with completely extra-biliary trajectory. This is thought to be the first description of a malpositioned common bile duct stent through the common biliary duct as a complication of the commonly performed surgical procedure of bile duct exploration.
Keywords : Cholecystectomy; Laparoscopic cholecystectomy; Bile duct injury; Malpositioned biliary stent; Laparoscopy


February 2019, 23 (1)