Original Article

Bile Duct Injury Following Open Cholecystectomy in a Child: A Rare Complication

Sravanthi Vutukuru [1], Shailesh Solanki [1], Prema Menon [1], Anmol Bhatia [2], Nitin James Peter [1], Jai Kumar Mahajan [1]

[1] Department of Pediatric surgery and [2] Department of Radio-diagnosis, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

Pediatric Surgery in Tropics. 2024;1(3)

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Abstract

Abstract Cholelithiasis is an uncommon pathology in the pediatric age group, with an incidence of 0.13-1.9%. The standard of treatment is laparoscopic cholecystectomy (LC). Open cholecystectomy (OC) has been rarely performed nowadays. We report a 5-year-old boy who underwent OC for gallstones and had sustained bile duct injury (BDI), which was missed intra-operatively. The child presented with fever, abdominal collection, and sepsis. We discuss the management of a patient with BDI along with the review of pertinent literature.

Keywords

Cholelithiasis Bile duct injury Open cholecystectomy Gall stones Surgical complicationBDI - (Bile duct injury) CBD - (Common bile duct)CHD - (Common hepatic duct) IHBRD - (Intrahepatic biliary radicle dilatation) LC - (laparoscopic cholecystectomy) LFT - (Liver function test) OC - (Open cholecystectomy) PTBD - (Percutaneous trans-hepatic biliary drainage)