::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

THE DEVELOPMENT OF ACUTE SMALL BOWEL OBSTRUCTION AFTER HEPATICOJEJUNOSTOMY

AUTHORS:

Kostyrnoy A.V., Kerimov E.Y. Useinov E. B., Kaminsky I.V., Kosenko A.V.

ABSTRACT:

Clinical observation of biliary stone formation on framed transhepatic tubular drainage into intestinal lumen followed by a stone migration resulting in intestinal obturation. Routine laboratory, clinical, biochemical investigations, sonographic examination, magnetic resonance cholangiography, ultrasound controlled transcutaneous transhepaticcholangistomy, roentgenoscopy examination of organs of abdomen cavity were used. Clinical observation of patient G., 63 years old, who hospitalyse with cholelithiasis for planned surgery presented. Laparoscopic cholecystectomy was perfomed with iatrogenic injury of wall of common bile duct followed by its suturing and formation of stricture of common bile duct followed by Ru hepaticojejunostomy on fraimed transhepatic drainage with formation biliary stone on it followed by migration of the stone along intestinal tract leading to enteric obstruction. Data of formation of biliary stone on framed transhepatic drainage followed by a stone avulsion of the stone along intestinal tract leading to enteric obstruction were presented. Rare clinical case of framed transhepatic drainage fouling with biliary stone (photo) followed by avulsion of stone to enteric lumen leading to enteric obturation. Keywords: Chronic and acute cholecystitis, common bile duct, injury, stricture, hepaticojejunostomy.