Rupture of intrahepatic bile duct after ERCP for common bile duct stone: A case report of rare complications.
| Title: | Rupture of intrahepatic bile duct after ERCP for common bile duct stone: A case report of rare complications. |
|---|---|
| Authors: | Ly TH; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Department of Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam.; Pham QT; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Department of Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam.; Tran LH; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Department of Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam.; Tran HN; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Department of Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam.; Tran PD; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Nguyen KHA; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Le THT; Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.; Pham TQ; Department of Surgery, Pham Ngoc Thach University, Vietnam. |
| Source: | Medicine [Medicine (Baltimore)] 2024 Aug 16; Vol. 103 (33), pp. e39283. |
| Publication Type: | Journal Article; Case Reports |
| Language: | English |
| Journal Info: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins |
| MeSH Terms: | Cholangiopancreatography, Endoscopic Retrograde*/adverse effects ; Bile Ducts, Intrahepatic*/surgery ; Bile Ducts, Intrahepatic*/diagnostic imaging; Gallstones/surgery ; Postoperative Complications/etiology ; Peritonitis/etiology ; Peritonitis/surgery ; Drainage/methods ; Rupture/etiology ; Rupture/surgery ; Humans ; Male ; Middle Aged ; Tomography, X-Ray Computed |
| Abstract: | Rationale: Complications after endoscopic retrograde cholangiopancreatography (ERCP) are diverse and usually treated with nonoperative management or percutaneous drainage; however, there are still some rare, life-threatening complications. This is an extremely rare case of biliary peritonitis caused by rupture of the intrahepatic bile duct after ERCP.; Patient Concerns: A 63-year-old male underwent ERCP for common bile duct stones. On the second day after the procedure, the patient developed sepsis and abdominal distention. Contrast-enhanced computed tomography revealed a subcapsular hepatic fluid collection attached to the bile duct of segment VII.; Diagnoses: Sepsis resulted in liver parenchyma rupture and intrahepatic bile duct injury after ERCP. Intraoperative cholangiography revealed a connection between a hole in the liver parenchymal surface and the intrahepatic bile duct.; Interventions: Surgeons performed the cholecystectomy, inserted a T-tube into the common bile duct stones, sutured the defect, and put 2 drainage tubes around the lesion.; Outcomes: Postoperative recovery was uneventful, and the patient was discharged on the 17th postoperative day.; Lessons: Intrahepatic bile duct perforation after ERCP can lead to rupture of the liver parenchyma, biloma, or abdominal peritonitis. Multidisciplinary management is necessary to achieve favorable outcomes.; (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.) |
| Competing Interests: | The authors have no conflicts of interest to disclose. |
| References: | Chandrasekhara V, Khashab MA, Muthusamy VR, et al. ASGE Standards of Practice Committee. Adverse events associated with ERCP. Gastrointest Endosc. 2017;85:32–47.; Andriulli A, Loperfido S, Napolitano G, et al. Incidence rates of post-ERCP complications: a systematic survey of prospective studies. Am J Gastroenterol. 2007;102:1781–8.; Karačić A, Batur P, Štritof D, Fukui T, Bakula B, Kekez I. A novel cause of biliary peritonitis after endoscopic retrograde cholangiopancreatography: case report and literature review. Case Rep Gastrointest Med. 2021;2021:3814080.; Kayashima H, Ikegami T, Kasagi Y, et al. Liver parenchyma perforation following endoscopic retrograde cholangiopancreatography. Case Rep Gastroenterol. 2011;5:487–91.; Igarashi H, Yamashita H, Tsuchiya K, Sugimoto D, Ogata I. Intrahepatic subcapsular biloma after endoscopic retrograde cholangiopancreatography treated by endoscopic biliary drainage. Clin J Gastroenterol. 2018;11:167–71.; Fujiwara H, Yamamoto M, Takahashi M, et al. Spontaneous rupture of an intrahepatic bile duct with biloma treated by percutaneous drainage and endoscopic sphincterotomy. Am J Gastroenterol. 1998;93:2282–4.; Christoforidis E, Vasiliadis K, Goulimaris I, et al. A single center experience in minimally invasive treatment of postcholecystectomy bile leak, complicated with biloma formation. J Surg Res. 2007;141:171–5.; De Backer A, Fierens H, De Schepper A, Pelckmans P, Jorens PG, Vaneerdeweg W. Diagnosis and nonsurgical management of bile leak complicated by biloma after blunt liver injury: report of two cases. Eur Radiol. 1998;8:1619–22.; Tamura N, Ishihara S, Kuriyama A, Watanabe S, Suzuki K. Long-term follow-up after non-operative management of biloma due to blunt liver injury. World J Surg. 2015;39:179–83.; Alkhateeb HM, Aljanabi TJ, Al-Azzawi KH, Alkarboly TA. Huge biloma after endoscopic retrograde cholangiopancreatography and endoscopic biliary sphincterotomy. Int J Surg Case Rep. 2015;16:7–11.; Fiorini M, Pietrangelo A, Vegetti A. An unfortunate case of post-ERCP complications. Intern Emerg Med. 2017;12:263–5.; Furukawa R, Kuwatani M, Sakamoto N. A rare adverse event after endoscopic retrograde cholangiography. Int Med. 2022;61:2983–4.; Cirocchi R, Kelly MD, Griffiths EA, et al. A systematic review of the management and outcome of ERCP related duodenal perforations using a standardized classification system. Surgeon. 2017;15:379–87.; Shi H, Chen SY, Swar G, Wang YG, Ying MG. Carbon dioxide insufflation during endoscopic retrograde cholangiopancreatography: a review and meta-analysis. Pancreas. 2013;42:1093–100. |
| Entry Date(s): | Date Created: 20240816 Date Completed: 20240816 Latest Revision: 20250130 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11332748 |
| DOI: | 10.1097/MD.0000000000039283 |
| PMID: | 39151501 |
| Database: | MEDLINE |
Journal Article; Case Reports