Post cholecystectomy bile leak
Bile in drain tube post laparoscopic cholecystectomy.
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Large perihepatic low-density fluid collection. Drain tube. Post biliscopin there is extraluminal contrast adjacent to the cholecystectomy clips extending along the drain tube. No filling defect in the common bile duct. Vicarious renal excretion.
This patient was 7 days post elective laparoscopic cholecystectomy with persistent bile draining from the surgical drain. These can occur secondary to common bile duct injury but are most commonly from the cystic duct stump or subvesical ducts of Luschka.