Intraoperative Treatment of Duct of Luschka during Laparoscopic Cholecystectomy: A Case Report and Revision of Literature

Abstract EN

Background.

Bile leakage still remains a serious complication during cholecystectomies.

In limited cases, this complication may occur from injury of the so-called ducts of Luschka.

These rare ducts are usually discovered intraoperatively, and their presence poses the risk of bile injury and clinically significant bile leak.

Presentation Case.

We present a unique case of a 59-year-old male patient with acute cholecystitis.

After removal of the gallbladder, thorough inspection of the hepatic bed was made and a little bile leak was identified from a duct of Luschka 1 cm away from the gallbladder hilum.

We report on the use of endoscopic QuickClip Pro® clips (Olympus Medical Systems Corp., Tokyo, Japan) to avoid further more invasive treatment.

Discussion.

Endoscopic retrograde cholangiopancreatography with sphincterotomy played a crucial role for diagnosis and treatment of bile leaks with success rate near 94%.

Many authors have argued the role of relaparoscopy, Diagnosis may be intraoperatively but this option does not seem to occur very often; in fact, there is a lack of data in literature.

Conclusion.

This is the first case report of bile leak from duct of Luschka treated during the cholecystectomies with endoscopic clip.