Benjamin J Foreman, DO, MS, B Fernando Santos, MD. Dartmouth Hitchcock
The following is a video case report from our institution from May 2016. Our patient is an 82-year-old male who was admitted to the hospital with worsening confusion. He subsequently developed fever, a leukocytosis, and increasing abdominal discomfort. His workup revealed increasing total bilirubin to greater than 3, which prompted a CT of his abdomen and pelvis. This revealed a thickened gall bladder wall and choledocholithiasis. He was taken to the operating room for a planned laparoscopic common bile duct exploration and cholecystectomy. A 7 F biliary stent was left to decompress the biliary tree given the inflammation visualized in the distal common bile duct after stone extraction. It was removed as an outpatient 2 weeks after placement with an EGD. The following video details the procedure. He did well post operatively and was medically ready for discharge on POD2.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79512
Program Number: V128
Presentation Session: Biliary Video Session
Presentation Type: Video