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Minimally invasive management of traumatic biliary fistula in the setting of gastric bypass
  1. Molly Mounsey,
  2. Jessica Martinolich,
  3. Olatoye Olutola and
  4. Marcel Tafen
  1. Department of Surgery, Albany Medical Center, Albany, New York, USA
  1. Correspondence to Molly Mounsey; mounsem{at}


The current management of persistent biliary fistula includes biliary stenting and peritoneal drainage. Endoscopic retrograde cholangiopancreatography (ERCP) is preferred over percutaneous techniques and surgery. However, in patients with modified gastric anatomy, ERCP may not be feasible without added morbidity. We describe a 37-year-old woman with traumatic biliary fistula, large volume choleperitonitis and abdominal compartment syndrome following a motor vehicle collision who was treated with laparoscopic drainage, lavage and biliary drain placement via percutaneous transhepatic cholangiography.

  • general surgery
  • gastrointestinal surgery
  • biliary intervention

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  • Contributors MM, JM and MT contributed to the writing of this case report. MM, OO and MT edited this case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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