Korean Journal of Gastrointestinal Endoscopy 2000;21(1): 586-589.
복강경적 담낭 절제술 후 부담관에서 발생한 담즙 유출 1예 ( A Case of Bile Leak from the Accessory Bile Duct after Laparoscopic Cholecystectomy )
이상인,나상규(Sang Kyu Na),정준표(Jun Pyo Chung),정미경(Mi Gyoung Jeong),김동주(Dong Joo Kim),이세준(Se Joon Lee),박효진(Hyo Jin Park),이관식(Kwan Sik Lee),정재복(Jae Bock Chung),강진경(Jin Kyung Kang)
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. (Korean J Gastrointest Endosc 2000;21:586-589)
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