Diagnostic approaches to bile leaks from the duct of Luschka
DOI:
https://doi.org/10.18203/2349-2902.isj20253754Keywords:
Duct of Luschka, Bile leak, Cholecystectomy, DiagnosisAbstract
Bile leaks from the duct of Luschka, also known as subvesical bile ducts, are a rare but clinically significant complications of cholecystectomy, being an etiology of Strasberg type A bile duct injury. Leaks pose a diagnostic challenge due to anatomic variation and non-specificity of presentation. The article provides a detailed examination of diagnostic methods which begin with clinical assessment and continue through laboratory testing and imaging techniques including ultrasound, computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), hepatobiliary iminodiacetic acid (HIDA) scan, endoscopic retrograde cholangiopancreatography (ERCP), intraoperative cholangiography, contrast-enhanced ultrasound (CEUS), and other emerging imaging technologies. The research presents diagnostic accuracy metrics and develops a diagnostic algorithm which enables medical professionals to reach fast. Precise diagnoses while ensuring patient safety.
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References
Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg. 1995;180(1):101-25.
Gawlik C, Carneval M. A review of the management of bile leaks. Cureus. 2021;13(5):e14937. DOI: https://doi.org/10.7759/cureus.14937
Gupta V, Jayaraman S. Role for laparoscopy in the management of bile duct injuries. Can J Surg. 2017;60(5):300-4. DOI: https://doi.org/10.1503/cjs.003317
Schnelldorfer T, Sarr MG, Adams DB. What is the Duct of Luschka? A systematic review. J Gastrointest Surg. 2012;16(3):656-62. DOI: https://doi.org/10.1007/s11605-011-1802-5
Halle-Smith JM, Hodson J, Stevens LG, Dasari B, Marudanayagam R, Perera T, et al. A comprehensive evaluation of the long-term clinical and economic impact of minor bile duct injury. Surgery. 2020;167(6):942-9. DOI: https://doi.org/10.1016/j.surg.2020.01.022
Zhu Y, Hickey R. The role of the interventional radiologist in bile leak diagnosis and management. Semin Intervent Radiol. 2021;38(3):309-20. DOI: https://doi.org/10.1055/s-0041-1731369
Spanos CP, Syrakos T. Bile leaks from the duct of Luschka (subvesical duct): a review. Langenbeck’s Arch Surg. 2006;391(5):441-7. DOI: https://doi.org/10.1007/s00423-006-0078-9
Kantarcı M, Pirimoglu B, Karabulut N, Bayraktutan U, Ogul H, Ozturk G, et al. Non-invasive detection of biliary leaks using Gd-EOB-DTPA-enhanced MR cholangiography: comparison with T2-weighted MR cholangiography. Eur Radiol. 2013;23(10):2713-22. DOI: https://doi.org/10.1007/s00330-013-2880-4
Fayad LM, Kowalski T, Mitchell DG. MR cholangiopancreatography: evaluation of common bile duct and pancreatic duct pathologies. Am J Roentgenol. 2003;180(3):675-84.
Paramythiotis D, Moysidis M, Rafailidis V, Bangeas P, Karakatsanis A, Kalogera A, et al. Ducts of Luschka as a rare cause of postoperative biloma. MRCP findings. Radiol Case Rep. 2019;14(10):1237-40. DOI: https://doi.org/10.1016/j.radcr.2019.07.008
Mergener K, Strobel JC, Suhocki P, Jowell PS, Enns RA, Branch MS, et al. The role of ERCP in diagnosis and management of accessory bile duct leaks after cholecystectomy. Gastrointest Endosc. 1999;50(4):527-31. DOI: https://doi.org/10.1016/S0016-5107(99)70077-5
Xu J, Wang J, Liu Y. Contrast-enhanced ultrasound in the detection of biliary leaks: a systematic review. Front Med Technol. 2023;5:946555.
Lo Nigro C, Geraci G, Sciuto A, Li Volsi F, Sciume C, Modica G. Bile leaks after videolaparoscopic cholecystectomy: duct of Luschka. Endoscopic treatment in a single centre and brief literature review on current management. Ann Ital Chir. 2012;83(4):303-12.
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