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KMID : 0359020000210010581
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Korean Journal of Gastrointestinal Endoscopy
2000 Volume.21 No. 1 p.581 ~ p.585
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A Case of Bile Leak from the Accessory Bile Duet after Laparoscopic Cholecystectomy
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1나상규/1Sang Kyu Na
1정준표/1김동주/1이세준/1박효진/1이관식/1정재복/1이상인/1강진경/2정미경/1Jun Pyo Chung/1Dong Joo Kim/1Se Joon Lee/1Hyo Jin Park/1Kwan Sik Lee/1Jae Bock Chung/1Sang In Lee/1Jin Kyung Kang/2Mi Gyoung Jeong
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Abstract
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-Abstract-
Bile leak is one of the complications of both open and laparoscopic cholecystectomy.
The majority of postcholecystectomy leaks occur from the cystic duct stump. Due to
their location and small size, accessory ducts are vulnerable to injury during
cholecystectomy. A clinically significant leak from the injured accessory bile duct is rare
and has rare and has rarely been reported in Korea. Endoscopic retrograde
cholangiopancreatography (ERCP) has a major role both in detecting such a leak,
determining its site, and in managing it. A case was experienced involving a significant
bile leak after laparoscopic cholecystectomy from the accessory bile duct in a 49
year-old man. The site of the leak was diagnosed by ERCP and the leak was
successfully treated endoscopically by using biliary stenting. However, the diagnosis of
the accessory bile duct was established only by a follow-up ERCP done after the
healing of the bile leak, This case in herein reported with a review of the related
literature.
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KEYWORD
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