Bile leak from the duct of Luschka.
A 64-year-old diabetic man underwent an open cholecystectomy for acute necrotizing cholecystitis. Post-operatively he developed a biloma which was drained percutaneously. A bile leak was suspected and he underwent an ERCP. Initial cholangiography was normal, but upon continued injection of contrast agent, a bile leak originating from a branch of the right hepatic duct or duct of Luschka became evident. A sphincterotomy was performed and a plastic stent was placed into the common bile duct. The leak resolved and the plastic stent was removed 6 weeks later.
Neumann
H
H
Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, Magdeburg, Germany. helmut.neumann@medizin.unimagdeburg.de
Fry
L C
LC
Malfertheiner
P
P
Mönkemüller
K
K
D001658:Biliary Fistula / Q000209:etiology* / Q000628:therapy; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy; D041881:Cholecystitis, Acute / Q000601:surgery*; D003937:Diagnosis, Differential; D006500:Hepatic Duct, Common / Q000002:abnormalities*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D016717:Sphincterotomy, Endoscopic; D015607:Stents