Novel approach to iatrogenic bile peritonitis.

Abstract:

:Bile peritonitis after injury to the biliary tree is a serious complication that requires exploratory laparotomy. Our patient had an obstructing ampullary carcinoma, and generalized bile peritonitis developed from attempted percutaneous transhepatic cholangiography. The patient's condition was managed by peritoneal lavage and endoscopic transampullary stenting, with immediate relief of pain and toxicity. Exploratory laparotomy was avoided, and an eventual pylorus-sparing Whipple resection was the definitive treatment. We believe this to be the first report of successful nonoperative treatment of a patient with bile peritonitis with obstructive jaundice.

journal_name

Surgery

journal_title

Surgery

authors

McAneny DB,Gibran NS,Braasch JW

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

796-8

issue

6

eissn

0039-6060

issn

1532-7361

pii

0039-6060(91)90428-O

journal_volume

109

pub_type

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