Causes of Bile Duct injuries during Gallbladder surgery:
Most bile duct injuries that occur during gallbladder surgery happen because the area around the gallbladder and bile ducts is masked in some way so that the doctor cannot see it clearly. This can happen if the area’s structure (anatomy) is different than normal, or if there is a lot of bleeding, swelling, or scarring in the area.
Symptoms of Bile Duct Injuries:
Patients with bile duct injury after a laparoscopic cholecystectomy may experience symptoms soon after surgery, or several weeks to months after the injury occurred.
Patients with early onset of symptoms, usually present with leakage of bile into the abdominal cavity. Some of the symptoms that associated with this include:
- Persistent pain and discomfort
- Nausea and/or vomiting
Since patients generally recover rapidly after laparoscopic cholecystectomy. Physicians should carefully evaluate patients who not improving for possible bile duct injury from laparoscopic cholecystectomy.
Patients who develop delayed symptoms from a bile duct injury usually scarring of the bile duct from the injury. This leads to the narrowing of the bile duct (bile duct stricture) so that bile cannot pass through. These patients experience jaundice as their primary symptom.