Ajay Bhandarwar, MS, FICS, FBMS, FALS, FMAS1, Tejas Nikumbh, DNB1, Gajanan Wagholikar, MS, MCh, DNB, FACS, FICS2, Amol Wagh, MS, FMAS, FBMS, FALS, FIAGES1, Eham Arora, MS1, Shubham Gupta, MS1, Jasmine Agarwal1, Gagandeep Talwar1. 1Grant Government Medical College & Sir JJ Group of Hospitals, India, 2Deenanath Mangeshkar Hospital & Research Centre, Pune, India
Cholecystohepatic communication, i.e. intrahepatic bilioma is an extremely rare condition with less than 10 cases reported in literature so far. It occurs due to an infection in the Rokitansky-Aschoff sinuses secondary to a biliary tree obstruction.
At our center, we have managed three such cases with posterior wall perforation in the gall bladder, leading to an intra-hepatic abscess. In all cases, choledocholithiasis was managed by ERCP guided CBD clearance with stenting & a laparoscopic cholecystectomy with intra-hepatic abscess drainage was performed. We observed a favorable recovery in all three cases.
Thus, in our experience, laparoscopic approach should be considered a safe & feasible approach in these rare cases.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86344
Program Number: V167
Presentation Session: Biliary Videos Session
Presentation Type: Video