Document Detail


Post-laparoscopic cholecystectomy bile leak secondary to an accessory duct of Luschka.
MedLine Citation:
PMID:  10421026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intraperitoneal bile collection following laparoscopic cholecystectomy has been reported to occur in 0.2-2% of cases and appears to be slightly higher than when the open technique is used. When the injuries of the common bile duct, technical problems with the cystic duct, diathermic injuries to the biliary tree, and iatrogenic interruption of congenital anomalous of the biliary tree are excluded, the iatrogenic transaction of the cholecystohepatic ducts commonly known as the 'Ducts of Luschka' should be considered as the cause of the biliary leak. This article reports a case of bile leakage due to an unrecognized division of a large duct of Luschka within the gall bladder fossa during laparoscopic cholecystectomy and reviews clinical diagnosis, radiological confirmation, and the appropriate treatment for this uncommon complication of laparoscopic cholecystectomy.
Authors:
M Jamshidi; R J Obermeyer; G Garcia; M Hashmi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International surgery     Volume:  84     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1999 Jan-Mar
Date Detail:
Created Date:  1999-11-02     Completed Date:  1999-11-02     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  86-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Western Reserve Care System, A Division of Forum Health, Youngstown, Ohio 44501, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bile Ducts / injuries*,  surgery
Cholangiography
Cholecystectomy, Laparoscopic / adverse effects*,  methods
Cholelithiasis / surgery
Female
Humans

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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