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
Surgeryjournal_title
Surgeryauthors
McAneny DB,Gibran NS,Braasch JWsubject
Has Abstractpub_date
1991-06-01 00:00:00pages
796-8issue
6eissn
0039-6060issn
1532-7361pii
0039-6060(91)90428-Ojournal_volume
109pub_type
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