Post Laparoscopic Cholecystectomy Biloma in a Child Managed by Endoscopic Retrograde Cholangio-Pancreatography and Stenting: A Case Report.
10.5223/pghn.2016.19.4.281
- Author:
Charu TIWARI
1
;
Om Prakash MAKHIJA
;
Deepa MAKHIJA
;
Shalika JAYASWAL
;
Hemanshi SHAH
Author Information
1. Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, India. hemanshisshah@gmail.com
- Publication Type:Case Report
- Keywords:
Cholecystectomy;
Laparoscopic;
Biloma;
Child
- MeSH:
Bile;
Bile Ducts;
Child*;
Cholangiopancreatography, Endoscopic Retrograde;
Cholecystectomy;
Cholecystectomy, Laparoscopic*;
Drainage;
Female;
Humans;
Stents*
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2016;19(4):281-285
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
