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A Case of Post‐Laparoscopic Cholecystectomy Bile Leakage from the Cystic Duct Treated by Endoscopic Nasobiliary Drainage without EST
Author(s) -
OHTANI Yasuo,
TANAKA Yutaka,
GOTO Kenichiro,
TSUKUI Masaru,
MAKUUCHI Hiroyasu,
TAJIMA Tomoo,
MITOMI Toshio
Publication year - 1995
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1995.tb00397.x
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , cystic duct , laparotomy , bile duct , laparoscopic cholecystectomy , cholecystectomy , surgery , common bile duct , gallbladder , pancreatitis
The patient was a 45 year old female with cholelithiasis who had undergone laparoscopic cholecystectomy. Bile leakage was detected from the site of Penrose drain insertion immediately after the operation. As no improvement of bile leakage was subsequently observed, ERCP (endoscopic retrograde cholangiopancreatography) was performed on the third postoperative day. Neither choledocholithiasis nor choledochal stricture was found and the diagnosis of bile leakage from the cystic duct stump was made. A 5Fr ENBD (endoscopic nasobiliary drainage)‐tube without EST (endoscopic sphincterotomy) was inserted into the common bile duct, and bile leakage disappeared completely on the third day after insertion of the ENBD tube. Additional laparotomy, EST or biliary stenting was thereby avoided. Choledo‐chography, via the ENBD‐tube, showed no leakage of contrast material, the ENBD‐tube was removed and the patient was discharged. ENBD should be considered as a method of treatment for management of bile leaks from the cystic duct stump.