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

Soon Young Ko; Jeong Rok Lee; Joon Ho Wang

doi:10.4166/kjg.2017.69.2.147

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Ko, Lee, and Wang: Endoscopic Nasobiliary Drainage for Bile Leak Caused by Injury to the Ducts of Luschka

Case Report

Korean J Gastroenterol 2017;69(2):147-150.

Published online: 4 October 2017

DOI: https://doi.org/10.4166/kjg.2017.69.2.147

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

Soon Young Ko, Jeong Rok Lee, Joon Ho Wang

Department of Internal Medicine, Konkuk University School of Medicine, Chungju, Korea

Correspondence to: Joon Ho Wang, Department of Internal Medicine, Konkuk University Chungju Hospital, Konkuk University School of Medicine, 82 Gugwon-daero, Chungju 27376, Korea. Tel: +82-43-840-8207, Fax: +82-43-840-8973, E-mail: wangjoonho@kku.ac.kr

Received 15 November 2016 Revised 24 December 2016 Accepted 15 January 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Bile ducts, Leak, ERCP

References

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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).

Fig. 2.

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

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