A Case of Bile Leak from the Accessory Bile Duct after Laparoscopic Cholecystectomy.
- Author:
Sang Kyu NA
1
;
Jun Pyo CHUNG
;
Mi Gyoung JEONG
;
Dong Joo KIM
;
Se Joon LEE
;
Hyo Jin PARK
;
Kwan Sik LEE
;
Jae Bock CHUNG
;
Jin Kyung KANG
Author Information
1. Departments of Internal Medicine and *Radiology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Bile leak;
Accessory bile duct;
Cholecystectomy
- MeSH:
Bile Ducts*;
Bile*;
Cholangiopancreatography, Endoscopic Retrograde;
Cholecystectomy;
Cholecystectomy, Laparoscopic*;
Cystic Duct;
Diagnosis;
Follow-Up Studies;
Humans;
Korea;
Middle Aged;
Stents
- From:Korean Journal of Gastrointestinal Endoscopy
2000;21(1):586-589
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bile leak is one of the complications of both open and laparoscopic cholecystectomy. The majority of postcholecystectomy leaks occur from the cystic duct stump. Due to their location and small size, accessory ducts are vulnerable to injury during cholecystectomy. A clinical significant leak from the injured accessory bile duct is rare and has rarely been reported in Korea. Endoscopic retrograde cholangiopancreatography (ERCP) has a major role both in detecting such a leak, determining its site, and in managing it. A case was experienced involving a significant bile leak after laparoscopic cholecystectomy from the accessory bile duct in a 49 year-old man. The site of the leak was diagnosed by ERCP and the leak was successfully treated endoscopically by using biliary stenting. However, the diagnosis of the accessory bile duct was established only by a follow-up ERCP done after the healing of the bile leak. This case in herein reported with a review of the related literature.
