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September 10, 2025International Journal of Research in Medical SciencesOpen Access

Open common bile duct exploration with primary closure treatment of complicated choledocholithiasis: a case report and literature review

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Authors

EAEdmundo H. AldanaEMEunice I. MotaJEJorge A. Encinas

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Overview

Case report details successful treatment of complicated choledocholithiasis using primary closure, suggesting a multidisciplinary approach.

Key Points

  • Primary closure after open common bile duct exploration shows promise in managing choledocholithiasis, even with complications.
  • The case involved a 55-year-old woman with acute biliary pancreatitis and cholangitis, highlighting the complexity of treatment.
  • A multidisciplinary approach proved beneficial, resulting in a self-limiting biliary leak that resolved spontaneously.
  • Results indicate that primary closure may lead to shorter hospital stays and fewer complications in select patients.

Cite This Study

Aldana et al. (2025) studied this question.

synapsesocial.com/papers/68c1a5f254b1d3bfb60dfa13https://doi.org/10.18203/2320-6012.ijrms20252424
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Clinico-Etiology and an Outcome Analysis of Surgical Management of Choledocholithiasis2025
  2. 2The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis2024 · 2 citations
  3. 3Robotic Cholecystectomy and Common Bile Duct Exploration: Multidisciplinary Approach in a Complex Case of Choledocholithiasis2026
  4. 4Primary closure with endoscopic nasobiliary drainage after laparoscopic common bile duct exploration: A safe and feasible strategy for nondilated common bile ducts2025
  5. 5Two Patients with Very Rare Biliary Anomalies: Difficult to Interpret on Imaging, Needing Traditional Techniques of Biliary Drainage2026