Successful Treatment of Persistent Postcholecystectomy Bile Leak Using Percutaneous Cystic Duct Coiling

Case Reports in Surgery
Vinay RaiCharles F Bellows

Abstract

Laparoscopic cholecystectomy is one of the most commonly performed operations worldwide. Cystic duct is the most common site of bile leak after cholecystectomy. The treatment of choice is usually conservative. Using sufficient percutaneous drainage of the biloma cavity and endoscopic retrograde cholangiography (ERCP) with sphincterotomy and/or stenting, the cure rate of bile leaks is greater than 90%. In very rare cases, all of these measures remain unsuccessful. We report a technique for the successful treatment of persistent cystic duct leak. After failed ERCP and stenting, bile leak was treated by coiling the cystic duct through a drain tract. This technique is safe and effective and helps avoid the morbidity of reoperation.

References

Dec 1, 1994·American Journal of Surgery·M S WoodsJ J Brandabur
Feb 25, 2005·Gastrointestinal Endoscopy·Arthur John KaffesMichael John Bourke
Oct 28, 2008·Cardiovascular and Interventional Radiology·Taral DoshiKarim Valji
Dec 17, 2008·Archives of Surgery·Samuel EisensteinCelia M Divino
Aug 8, 2009·Journal of Digestive Diseases·Irshad Ahammed A ShaikhThomas Daniel
Oct 23, 2009·Gastrointestinal Endoscopy·Gavin WrightRay G Shidrawi
Dec 24, 2010·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Eric K GangulyPeter L Moses

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Citations

Apr 17, 2021·BMJ Case Reports·Cameron SpenceAmit Parekh

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Methods Mentioned

BETA
dissect

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