A hepaticojejunostomy: technical errors with 'twists and turns'

Pediatr Surg Int. 2006 Oct;22(10):841-4. doi: 10.1007/s00383-006-1729-1. Epub 2006 Aug 9.

Abstract

Excision of a choledochal cyst followed by biliary reconstruction with a Roux-en-Y hepaticojejunostomy is the treatment of choice for type I and IV choledochal cysts. We present a rare complication which was identified 8 years after the original reconstructive surgery. Conventional imaging modalities failed to identify the pathology. Only a contrast enhanced CT scan supported by image rendering software allowed for the visualization of the underlying chronic obstruction of part of the mesentery.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Roux-en-Y*
  • Child
  • Choledochal Cyst / diagnostic imaging
  • Choledochal Cyst / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Pancreaticojejunostomy / methods*
  • Postoperative Complications / surgery
  • Reoperation
  • Tomography, X-Ray Computed
  • Ultrasonography, Doppler