Bile leak from accessory duct(s) of Luschka post cholecystectomy
Diagnosis almost certain
Updates to Case Attributes
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Bile leak is infrequently seen post cholecystectomy, usually from the cystic duct stump, with or without choledocholithiasis) that can put moreincreased pressure on the stump due tofrom distal bile duct obstruction). Occasionally the leak is not from the stump but from a small accessory duct(s) or ducts of Luschka that pass from an intra-hepatic ductductal branch directly into the gall bladder lumen. They are usually of little clinical significance apart from in the post cholecstectomy-cholecystectomy patient leading to bile leak that is. These leaks are usually self-limiting.
The key to this case is the finding of contrast leak without filling of the cystic duct stump meaning herecontrast is anotherexiting from an alternative source.
-<p>Bile leak is infrequently seen post cholecystectomy usually from the cystic duct stump with or without choledocholithiasis) that can put more pressure on the stump due to bile duct obstruction). Occasionally leak is not from the stump but from a small accessory duct(s) of Luschka that pass from an intra-hepatic duct branch directly into the gall bladder lumen. They are usually of clinical significance apart from the post cholecstectomy patient leading to bile leak that is usually self-limiting. The key to this case is the finding of contrast leak without filling of the cystic duct stump meaning here is another source.</p>- +<p>Bile leak is infrequently seen post cholecystectomy, usually from the cystic duct stump, with increased pressure from distal bile duct obstruction. Occasionally the leak is not from the stump but from a small accessory duct or ducts of Luschka that pass from an intra-hepatic ductal branch directly into the gall bladder lumen. They are usually of little clinical significance apart from in the post-cholecystectomy patient leading to bile leak. These leaks are usually self-limiting.</p><p>The key to this case is the finding of contrast leak without filling of the cystic duct stump meaning contrast is exiting from an alternative source.</p>
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