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KMID : 1038820160190040281
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Pediatric Gastroenterology, Hepatology & Nutrition
2016 Volume.19 No. 4 p.281 ~ p.285
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Post Laparoscopic Cholecystectomy Biloma in a Child Managed by Endoscopic Retrograde Cholangio-Pancreatography and Stenting: A Case Report
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Tiwari Charu
Makhija Om Prakash
Makhija Deepa
Jayaswal Shalika
Shah Hemanshi
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Abstract
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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.
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KEYWORD
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Cholecystectomy, Laparoscopic, Biloma, Child
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