CASE REPORT |
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Year : 2021 | Volume
: 26
| Issue : 1 | Page : 57-59 |
Arterio-Duodenal Fistula: A Rare Complication of Laparoscopic Choledochal Cyst Excision
Pawan K Garg1, Pushpinder S Khera1, Manish Pathak2, Galib Mirza1, Rahul Saxena2, Taruna Yadav1
1 Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Basni, Jodhpur, India 2 Department of Pediatric Surgery, All India Institute of Medical Sciences, Basni, Jodhpur, India
Correspondence Address:
Dr. Pushpinder S Khera Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Basni - 342 005, Jodhpur India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jiaps.JIAPS_56_20
Choledochal cysts (CDC) are rare biliary tract anomalies characterized by congenital dilatation of the extrahepatic and/or intrahepatic bile ducts. CDC excision with hepatico-enterostomy is the preferred surgery in modern era. Perioperative blood loss in a case of laparoscopic choledochal cyst excision (LCCE) is usually minimal and managed by conservative treatment such as blood transfusion and correction of coagulation factors. Massive hemorrhage in LCCE is rare and reported intraoperatively or within the first 3 postoperative days. Hereby, we present an unusual case of arterio-duodenal fistula, post LCCE presenting as delayed massive upper gastrointestinal bleeding in a male child and its successful endovascular management.
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