1.Post Laparoscopic Cholecystectomy Biloma in a Child Managed by Endoscopic Retrograde Cholangio-Pancreatography and Stenting: A Case Report.
Charu TIWARI ; Om Prakash MAKHIJA ; Deepa MAKHIJA ; Shalika JAYASWAL ; Hemanshi SHAH
Pediatric Gastroenterology, Hepatology & Nutrition 2016;19(4):281-285
Laparoscopic cholecystectomy, though an uncommon surgical procedure in paediatric age group is still associated with a higher risk of post-operative bile duct injuries when compared with the open procedure. Small leaks from extra hepatic biliary apparatus usually lead to the formation of a localized sub-hepatic bile collection, also known as biloma. Such leaks are rare complication after laparoscopic cholecystectomy, especially in paediatric age group. Minor bile leaks can usually be managed non-surgically by percutaneous drainage combined with endoscopic retrograde cholangio-pancreatography (ERCP). However, surgical exploration is required in cases not responding to non-operative management. If not managed on time, such injuries can lead to severe hepatic damage. We describe a case of an eight-year-old girl who presented with biloma formation after laparoscopic cholecystectomy who was managed by ERCP.
Bile
;
Bile Ducts
;
Child*
;
Cholangiopancreatography, Endoscopic Retrograde
;
Cholecystectomy
;
Cholecystectomy, Laparoscopic*
;
Drainage
;
Female
;
Humans
;
Stents*