A CASE REPORT ON CHOLEDOCHOPLASTY WITH GALL BLADDER WALL PEDICLED FLAP IN A CASE OF MIRIZZI SYNDROME
Agarwal Nikita, S. Prabhakar, Parth Patel, Sidhant Sharma- General Medicine
- Pharmacology (medical)
- Complementary and alternative medicine
- Pharmaceutical Science
- Materials Chemistry
- Economics and Econometrics
- Media Technology
- Forestry
- General Medicine
- General Medicine
- General Engineering
- General Medicine
- Applied Mathematics
- General Mathematics
- Pulmonary and Respiratory Medicine
- Pediatrics, Perinatology, and Child Health
- General Medicine
- General Chemistry
Presenting a case report on novel technique of common hepatic duct repair using gall bladder wall pedicled ap with TTube drainage in a case of chronic gall stone disease with mirizzi syndrome with difcult cholecystectomy. A 80 year old male patient with pain in abdomen in right hypochondriac region since three months with yellowish discolouration of skin and sclera. USG s/o minimal distended gall bladder with multiple calculi without cholecystitis. MRCP s/o cystic duct calculus (1.2 * 1.8 cm) at its insertion into common bile duct compressing bifurcation of common hepatic duct causing central and peripheral IHBRD with mirizzi syndrome. Patient planned for open cholecystectomy and common bile duct exploration and then intra-op due to sclerotic gall bladder and difcult cholecystectomy choledochoplasty with pedicle gall bladder ap repair of defect of common hepatic duct with T tube drainage was done.