title: Post Laparoscopic Cholecystectomy Biloma in a Child Managed by Endoscopic Retrograde Cholangio-Pancreatography and Stenting: A Case Report.
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.
authors.affiliation: Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, India.
authors.forename: Charu
authors.initials: C
authors.lastname: Tiwari
authors.affiliation: Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, India.
authors.forename: Om Prakash
authors.initials: OP
authors.lastname: Makhija
authors.affiliation: Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, India.
authors.forename: Deepa
authors.initials: D
authors.lastname: Makhija
authors.affiliation: Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, India.
authors.forename: Shalika
authors.initials: S
authors.lastname: Jayaswal
authors.affiliation: Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, India.
authors.forename: Hemanshi
authors.initials: H
authors.lastname: Shah
keywords: Biloma; Child; Cholecystectomy; Laparoscopic