Post cholecystectomy bile leak

Case contributed by Dr Henry Knipe

Presentation

Bile in drain tube post laparoscopic cholecystectomy.

Patient Data

Age: 65 years
Gender: Female
CT

Intravenous cholangiogram

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. 

Case Discussion

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. 

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Case information

rID: 59819
Published: 2nd May 2018
Last edited: 30th Dec 2018
Inclusion in quiz mode: Included

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