Bile leak post laparoscopic cholecystectomy

Case contributed by A.Prof Frank Gaillard

Presentation

Abdominal distension weeks following laparoscopic cholecystectomy.

Patient Data

Age: 45-50 years
Gender: Male

CT Intravenous cholangiogram

Modality: CT

Cholecystectomy with clips in the right upper quadrant. The biliary tree opacifies with contrast (Biliscopin) without dilatation. Extensive intra-abdominal fluid is present with pooling of contrast near the porta hepatis in keeping with a bile leak (confirmed). 

Case Discussion

Although CT intravenous cholangiograms are no longer commonly performed (at least not in most institutions) the ability to demonstrate positive contrast excreted in bile does have some uses. 

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Case Information

rID: 29014
Case created: 27th Apr 2014
Last edited: 28th Oct 2015
Inclusion in quiz mode: Included

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