Ko Soon Young, Lee Jeong Rok, Wang Joon Ho
Department of Internal Medicine, Konkuk University School of Medicine, Chungju, Korea.
Korean J Gastroenterol. 2017 Feb 25;69(2):147-150. doi: 10.4166/kjg.2017.69.2.147.
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.
一名51岁男性因胆囊结石接受了腹腔镜胆囊切除术。术后四天，他出现了发热、寒战和腹痛。在引流管中持续观察到胆汁。内镜逆行胰胆管造影（ERCP）显示从小导管向右肝内胆管渗漏。我们确定胆汁漏是由卢氏管损伤引起的。使用5F鼻胆管（NBT）进行了内镜括约肌切开术（ES），五天后渗漏得到解决。在此，我们报告一例腹腔镜胆囊切除术后因卢氏管损伤导致的胆汁漏。通过使用5F NBT进行ES治疗渗漏，且无需重复内镜检查即可确认渗漏已解决。
