An Option of Conservative Management of a Duodenal Injury Following Laparoscopic Cholecystectomy

Abstract EN

Duodenal injury following laparoscopic cholecystectomy is rare complications with catastrophic sequelae.

Most injuries are attributed to thermal burns with electrocautery following adhesiolysis and have a delayed presentation requiring surgical intervention.

We present a case of a 47-year-old gentleman operated on for laparoscopic cholecystectomy with a bilious drain postoperatively; for which an ERC was done showing choledocholithiasis with cystic duct stump blow-out and a drain in the duodenum suggestive of an iatrogenic duodenal injury.

He was managed conservatively like a duodenal fistula and recovered without undergoing any intervention.