%0 Journal Article
%T Hep¨¢tico-yeyunostom¨ªa estenosada con absceso hep¨¢tico y f¨ªstula bilo pleural Stenosed hepatic jejunostomy with hepatic abscess and biliary pleural fistula
%A Jos¨¦ Luis Gonz¨¢lez Gonz¨¢lez
%A Jes¨²s Antonio Gonz¨¢lez Villalonga
%A Joaqu¨ªn Men¨¦ndez N¨²£¿ez
%J Revista Cubana de Cirug¨ªa
%D 2012
%I Editorial Ciencias M¨¦dicas
%X La iatrogenia biliar cobra una importancia particular en nuestros tiempos, pues despu¨¦s de la "era laparosc¨®pica" su incidencia no solo se mantiene en altos ¨ªndices, sino que la envergadura de las lesiones tiende a ser mayor. Se presentan pacientes con complicaciones m¨¢s complejas que demandan de esfuerzos extraordinarios y de un enfoque multidisciplinario. Se presenta un paciente con una lesi¨®n iatrog¨¦nica de la v¨ªa biliar, complicado con una cirrosis biliar, un absceso hep¨¢tico con f¨ªstula biliopleural y se explica su manejo, con buenos resultados. Con este trabajo se pretende comunicar un caso singularmente complejo que fue enviado a nosotros despu¨¦s de m¨²ltiples intentos de reparaci¨®n y estenosis de una lesi¨®n iatrog¨¦nica de la v¨ªa biliar. Biliary iatrogeny gains particular importance in our times, since its incidence after "laparoscopic era" is not only high but the significance of the lesions tends to be greater. More patients with more complex complications demanding extraordinary efforts and multidisciplinary approach appear. Here is a patient suffering iatrogenic lesion of the bile duct, complicated with biliary cirrhosis, a hepatic abscess with biliary pleural fistula was presented, along with the management of the patient with good results. This paper was intended to show a particularly complex case that was referred to our service after a lot of repair attempts and the stenosis of iatrogenic lesion of the bile duct.
%K iatrogenia
%K v¨ªas biliares
%K estenosis
%K iatrogeny
%K bile ducts
%K stenosis
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932012000300007