Korean J Gastroenterol.  2017 Feb;69(2):147-150. 10.4166/kjg.2017.69.2.147.

Endoscopic Nasobiliary Drainage for Bile Leak Caused by Injury to the Ducts of Luschka

• Ko SY
• Lee JR
• Wang JH

• KMID: 2383426
• DOI: http://doi.org/10.4166/kjg.2017.69.2.147

Abstract

A 51-year-old man underwent laparoscopic cholecystectomy for gallbladder stones. He had developed fever, chills, and abdominal pain four days after the procedure. In the drain tube, bile was persistently observed. An endoscopic retrograde cholangiopancreatography (ERCP) showed a leakage from the small duct into the right intrahepatic duct. We determined that the bile leak was caused by an injury to the ducts of Luschka. An endoscopic sphincterotomy (ES) using a 5-F nasobiliary tube (NBT) was performed, and the leak was resolved in five days. Herein, we report a bile leak caused by an injury to the ducts of Luschka after laparoscopic cholecystectomy. The leak was treated with ES using 5-F NBT, and the resolution of the leak was confirmed without repeated endoscopy.

Keyword

Bile ducts; Leak; ERCP

MeSH Terms

Abdominal Pain
Bile Ducts
Bile*
Chills
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy, Laparoscopic
Drainage*
Endoscopy
Fever
Gallbladder
Humans
Middle Aged
Sphincterotomy, Endoscopic

Figure

• 

  Fig. 1. Cholangiogram showing a bile leak originating from a thin duct of Luschka that drain into the right hepatic duct (the arrow shows a bile leak from the duct of Luschka).

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  Fig. 2. Follow-up cholangiogram showing the resolution of a bile leak after ES with NBT. ES, endoscopic sphincterotomy; NBT, nasobiliary tube.

Reference

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