Iatrogenic Bile Duct Injury-MRCP
This is a 25 year old post cholecystectomy status female with collection in the GB fossa and suspected Bismuth type I injury. The overall incidence of ductal injury during laparoscopic cholecystectomy is 1.2% or less. Postoperative bile duct injury may be classified as a leak, stricture, or complete transection and excision of a segment of duct, with or without obstruction of the proximal biliary tree by surgical clips. According to Bismuth classifications of traumatic bile duct injury--
- Type I is injury more than 2 cm distal to biliary bifurcation.
- Type II is less than 2 cm from biliary confluence.
- Type III injury involves entire common hepatic duct and leaves confluence intact.
- Type IV is complete or partial destruction of biliary bifurcation.
Iatrogenic Bile Duct Injury-MRCP Reviewed by Sumer Sethi on Wednesday, October 14, 2009 Rating: