Abstract
We describe a 99-day old girl with inspissated bile syndrome (IBS) unresponsive to
treatment with oral ursodeoxycholic acid. We performed a pure laparoscopic 2-stage
procedure, consisting of cholecystostomy and insertion of an indwelling balloon catheter
for local ursodeoxycholic acid flushing for 13 consecutive days. Subsequently, the
cholecystostomy was removed, preserving the gallbladder using the same laparoscopical
approach when bilirubin values returned to normal and bile duct obstruction was no
longer detectable radiologically. This is the first report of an exclusively laparoscopic
management of IBS.
Key words
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Article info
Publication history
Accepted:
September 6,
2012
Received in revised form:
September 3,
2012
Received:
June 13,
2012
Footnotes
☆Financial disclosure: none of the authors.
☆☆Funding: none.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
