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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--

  1. Type I is injury more than 2 cm distal to biliary bifurcation.

  2. Type II is less than 2 cm from biliary confluence.

  3. Type III injury involves entire common hepatic duct and leaves confluence intact.

  4. 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: 5

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