A BILIARY LEAK FROM DUCTS OF LUSCHKA AFTER LAPAROSCOPIC CHOLECYSTECTOMY - IMAGING FINDINGS

Abstract

Acute cholecystitis is a condition which treatment usually involves surgery, and the most used is laparoscopic cholecystectomy. Bile leakage is a complication of laparoscopic cholecystectomy, often caused by injury to small aberrant bile ducts, such as the ducts of Luschka. We report a case of a 25-years-old female who was presented with abdominal pain five days after laparoscopic cholecystectomy. A CT scan and MRCP scan revealed a small bile collection in the gallbladder bed and the bile leakage was suspected. A laparoscopic revision was performed, during which a biliary collection was aspirated. Further exploration of the gallbladder fossa revealed an aberrant bile duct (duct of Luschka), smaller than 1mm, actively secreting bile. The duct was successfully closed, leading to resolution of the leakage. The ducts of Luschka are one of the most common causes of bile leakage after laparoscopic cholecystectomy. Generally, most of the diagnoses are determined post operatively as a result of the post-operative complications that arise. It is important to take into consideration the imaging reports whenever we have post cholecystectomy bile leakage.