Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Post Laparoscopic Cholecystectomy Biloma in a Child Managed by Endoscopic Retrograde Cholangio-Pancreatography and Stenting: A Case Report

  • Tiwari, Charu (Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central) ;
  • Makhija, Om Prakash (Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central) ;
  • Makhija, Deepa (Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central) ;
  • Jayaswal, Shalika (Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central) ;
  • Shah, Hemanshi (Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central)
  • Received : 2016.01.08
  • Accepted : 2016.03.04
  • Published : 2016.12.30
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Abstract

Laparoscopic cholecystectomy, though an uncommon surgical procedure in paediatric age group is still associated with a higher risk of post-operative bile duct injuries when compared with the open procedure. Small leaks from extra hepatic biliary apparatus usually lead to the formation of a localized sub-hepatic bile collection, also known as biloma. Such leaks are rare complication after laparoscopic cholecystectomy, especially in paediatric age group. Minor bile leaks can usually be managed non-surgically by percutaneous drainage combined with endoscopic retrograde cholangio-pancreatography (ERCP). However, surgical exploration is required in cases not responding to non-operative management. If not managed on time, such injuries can lead to severe hepatic damage. We describe a case of an eight-year-old girl who presented with biloma formation after laparoscopic cholecystectomy who was managed by ERCP.

Keywords

References

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