Biliary fistula following iatrogenic lesion of biliary accessory duct, after laparoscopic cholecystectomy, is a rare event. Generally this kind of fistula resolves spontaneously. In the case described the concomitant presence of unknown lithiasis of the main bile duct, has prolonged hospitalization and has proposed questions on the diagnostic-therapeutic programme. In the authors' opinion, the ultrasonography has particular importance because it permits, in addition to ERCP, a correct diagnosis and, eventually a rapid drainage of the fistula. Only in more difficult case the scintigraphy with HIDA give useful information. On the other hand intraoperative colangiography, in selected patients can be useful to identify the fistula and to permit a prompt therapeutic programme.
|Translated title of the contribution||Treatment of biliary fistula by iatrogenic lesion of accessory duct after laparoscopic cholecystectomy. Diagnostic-therapeutic evaluation of bile leak after laparoscopic cholecystectomy|
|Number of pages||4|
|Publication status||Published - 1997|
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