Post-laparoscopic cholecystectomy bile leak secondary to an accessory duct of Luschka.
Intraperitoneal bile collection following laparoscopic cholecystectomy has been reported to occur in 0.2-2% of cases and appears to be slightly higher than when the open technique is used. When the injuries of the common bile duct, technical problems with the cystic duct, diathermic injuries to the biliary tree, and iatrogenic interruption of congenital anomalous of the biliary tree are excluded, the iatrogenic transaction of the cholecystohepatic ducts commonly known as the 'Ducts of Luschka' should be considered as the cause of the biliary leak. This article reports a case of bile leakage due to an unrecognized division of a large duct of Luschka within the gall bladder fossa during laparoscopic cholecystectomy and reviews clinical diagnosis, radiological confirmation, and the appropriate treatment for this uncommon complication of laparoscopic cholecystectomy.
Department of Surgery, Western Reserve Care System, A Division of Forum Health, Youngstown, Ohio 44501, USA.
M
M
Jamshidi
R J
RJ
Obermeyer
G
G
Garcia
M
M
Hashmi
D000328:Adult; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000379:methods; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D006801:Humans