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Open-access Complicación post colecistectomía laparoscópica: Reporte de caso de fuga biliar asociada a variación anatómica

Post-laparoscopic cholecystectomy complication: case report of biliary leak associated with anatomical variation

Problem:  Biliary leak is an uncommon postoperative complication of right upper quadrant interventions and is related to anatomical variations of the biliary tree.

Case Report:  We present a patient with a biliary leak after laparoscopic cholecystectomy, where cholangiographic MRI revealed a 3C anatomical variant. Management included endoscopic retrograde cholangiopancreatography with biliary prosthesis placement.

Findings:  We emphasize the importance of preoperative evaluation of the biliary anatomy to prevent complications.

Conclusion:  The surgical complication was due to a very rare anatomical variation. However, more studies are needed on using advanced imaging to improve surgical safety and reduce costs associated with complications.

Keywords:
anatomical variation; endoscopic retrograde cholangiopancreatography; extrahepatic bile ducts; laparoscopic cholecystectomy; postoperative complications

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Instituto Tecnológico de Santo Domingo Santo Domingo DN, Dominican Republic Av. Los Próceres, Jardines del Norte. P.O. Box 342-9 and 249-2 - E-mail: manuel.colome@intec.edu.do
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