PMID- 37771881
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231003
IS  - 2042-8812 (Print)
IS  - 2042-8812 (Electronic)
IS  - 2042-8812 (Linking)
VI  - 2023
IP  - 9
DP  - 2023 Sep
TI  - Laparoscopic cholecystectomy: post-operative bile and chyle leaks. A case report.
PG  - rjad532
LID - 10.1093/jscr/rjad532 [doi]
LID - rjad532
AB  - One week after an elective laparoscopic cholecystectomy at an outside hospital, a 
      56-year-old male presented to the emergency department with right-sided abdominal 
      pain. Computerized tomography (CT) revealed a complex fluid collection in the 
      gallbladder fossa. The patient underwent drain placement and received 
      broad-spectrum intravenous antibiotics. Drain output was suspicious for a chyle 
      leak, which was confirmed by elevated fluid triglyceride levels. Magnetic 
      resonance cholangiopancreatography (MRCP) and hepatobiliary iminodiacetic acid 
      (HIDA) analysis showed evidence of a concurrent bile leak. After starting a low 
      fat, high protein diet and octreotide, a common bile duct sphincterotomy with 
      plastic stent placement was performed. The patient's symptoms and drain output 
      proceeded to improve. The cause of the chyle leak is unclear. However, with 
      consideration of the patient's concurrent bile leak, an injury to the right major 
      lymphatic drainage pathway and adjacent bile duct is suspected.
CI  - Published by Oxford University Press and JSCR Publishing Ltd. (c) The Author(s) 
      2023.
FAU - Philip, Dwight
AU  - Philip D
AUID- ORCID: 0009-0002-0551-7028
AD  - Herbert Wertheim College of Medicine, Florida International University, Miami 
      33199, United States.
FAU - Garcia, Maxine
AU  - Garcia M
AD  - Adult General Surgery, Memorial Hospital West, Pembroke Pines 33028, United 
      States.
FAU - Anika, Maisha
AU  - Anika M
AD  - Herbert Wertheim College of Medicine, Florida International University, Miami 
      33199, United States.
FAU - Avila, Azalia
AU  - Avila A
AD  - Adult General Surgery, Memorial Hospital West, Pembroke Pines 33028, United 
      States.
FAU - Seaver, Christopher
AU  - Seaver C
AD  - Adult General Surgery, Memorial Hospital West, Pembroke Pines 33028, United 
      States.
LA  - eng
PT  - Case Reports
DEP - 20230924
PL  - England
TA  - J Surg Case Rep
JT  - Journal of surgical case reports
JID - 101560169
PMC - PMC10532111
OTO - NOTNLM
OT  - bile leak
OT  - case report
OT  - chyle leak
OT  - laparoscopic cholecystectomy
COIS- None of the authors have any conflicts of interest to disclose.
EDAT- 2023/09/29 06:44
MHDA- 2023/09/29 06:45
PMCR- 2023/09/24
CRDT- 2023/09/29 03:58
PHST- 2023/08/09 00:00 [received]
PHST- 2023/09/08 00:00 [accepted]
PHST- 2023/09/29 06:45 [medline]
PHST- 2023/09/29 06:44 [pubmed]
PHST- 2023/09/29 03:58 [entrez]
PHST- 2023/09/24 00:00 [pmc-release]
AID - rjad532 [pii]
AID - 10.1093/jscr/rjad532 [doi]
PST - epublish
SO  - J Surg Case Rep. 2023 Sep 24;2023(9):rjad532. doi: 10.1093/jscr/rjad532. 
      eCollection 2023 Sep.