Korean J Gastrointest Endosc.  2000 Jul;21(1):586-589.

A Case of Bile Leak from the Accessory Bile Duct after Laparoscopic Cholecystectomy

• Na SK
• Chung JP
• Jeong MG
• Kim DJ
• Lee SJ
• Park HJ
• Lee KS
• Chung JB
• Kang JK

Abstract

Bile leak is one of the complications of both open and laparoscopic cholecystectomy. The majority of postcholecystectomy leaks occur from the cystic duct stump. Due to their location and small size, accessory ducts are vulnerable to injury during cholecystectomy. A clinical significant leak from the injured accessory bile duct is rare and has rarely been reported in Korea. Endoscopic retrograde cholangiopancreatography (ERCP) has a major role both in detecting such a leak, determining its site, and in managing it. A case was experienced involving a significant bile leak after laparoscopic cholecystectomy from the accessory bile duct in a 49 year-old man. The site of the leak was diagnosed by ERCP and the leak was successfully treated endoscopically by using biliary stenting. However, the diagnosis of the accessory bile duct was established only by a follow-up ERCP done after the healing of the bile leak. This case in herein reported with a review of the related literature.

Keyword

Bile leak; Accessory bile duct; Cholecystectomy

MeSH Terms

Bile Ducts*
Bile*
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy
Cholecystectomy, Laparoscopic*
Cystic Duct
Diagnosis
Follow-Up Studies
Humans
Korea
Middle Aged
Stents