Garcia S, Concepción AM, Wakoff C. Bile Leak Due to Luschka Duct Injury After Laparoscopic Cholecystectomy: A Case Report.
Cureus 2022;
14:e28427. [PMID:
36176857 PMCID:
PMC9512329 DOI:
10.7759/cureus.28427]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/26/2022] [Indexed: 11/05/2022] Open
Abstract
Bile leak is a common complication after laparoscopic cholecystectomy. Anatomical variations in the biliary tree can go unnoticed by the surgical team and cause complications such as this. This case report presents a patient admitted to the emergency department a week after a laparoscopic cholecystectomy due to abdominal pain and nausea. After a computed tomography, the patient was brought to the operating room for an exploratory laparoscopy, where an injured Luschka duct was found. The biliary tree has many variations that the surgeon should be aware of to minimize the risk of complications of this nature after laparoscopic cholecystectomy. There are imagining techniques with various grades of effectiveness, but in the end, the surgeon’s expertise and experience are the main factors in avoiding these complications.
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