Duct of Luschka Injury - The Biloma Dilemma: A Case Report

Authors

  • Hemanathan Praemanathan Department of Surgery, Hospital Sultanah Aminah, Jalan Persiaran Abu Bakar Sultan, Johor Bahru, Johor
  • Ivan Ho Khor Ee Department of Surgery, Hospital Sultanah Aminah, Jalan Persiaran Abu Bakar Sultan, Johor Bahru, Johor
  • Yeoh Aik Guan Department of Surgery, Hospital Sultanah Aminah, Jalan Persiaran Abu Bakar Sultan, Johor Bahru, Johor
  • Muhamad Izwan Ismail Department of Surgery, Hospital Sultanah Aminah, Jalan Persiaran Abu Bakar Sultan, Johor Bahru, Johor

Keywords:

Duct of Luschka, Subvesical duct, Bile leakage, Cholecystectomy

Abstract

Post-Operative bile leaks have been a major topic of discussion in the literature. These events lead to morbidity as well as increased mortality among patients. Injury to the ‘Duct of Luschka’ has increasingly been discussed in recent times. We present a case of post-open cholecystectomy complicated with bile leak attributed to injury to the subvesical duct, also known as the ‘Duct of Luschka’. This case report discusses the origins of the term of the duct of Luschka as well as other aspects of tackling a case of bile leak from this duct.

References

Koch M, Garden OJ, Padbury R, et al. Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. Surgery 2011;149:680-8. doi: 10.1016/j.surg.2010.12.002.

Buanes T, Waage A, Mjåland O, et al. Bile leak after cholecystectomy significance and treatment: results from the National Norwegian Cholecystectomy Registry. Int Surg 1996;8:276-9.

Kaffes AJ, Hourigan L, De Luca N, et al. Impact of endoscopic intervention in 100 patients with suspected postcholecystectomy bile leak. Gastrointest Endosc 2005;61:269-75. doi: 10.1016/s0016-5107(04)02468-x.

Luschka H. Die Anatomie des Menschen in Rücksicht auf die Bedürfnisse der praktischen Heilkunde bearbeitet. Die Anatomie des menschlichen Bauches. Tübingen: Laupp; 1863;2:235-263.

Schnelldorfer T, Sarr MG, Adams DB. What is the duct of Luschka? A systematic review. J Gastrointest Surg 2012;16:656-62. doi: 10.1007/s11605-011-1802-5.

Fong ZV, Pitt HA, Strasberg SM, et al; California Cholecystectomy Group. Diminished survival in patients with bile leak and ductal injury: management strategy and outcomes. J Am Coll Surg 2018;226:568-576. doi: 10.1016/j.jamcollsurg.2017.12.023.

Spanos CP, Syrakos T. Bile leaks from the duct of Luschka (subvesical duct): a review. Langenbeck's Arch Surg 2006;39:441-447. DOI: 10.1007/s00423-006-0078-9.

Paramythiotis D, Moysidis M, Rafailidis V, et al. Ducts of Luschka as a rare cause of postoperative biloma. MRCP findings. Radiol Case Rep 2019;14:1237-1240. doi: 10.1016/j.radcr.2019.07.008.

Polat FR, Abci I, Coskun I, et al. The importance of intraoperative cholangiography during laparoscopic cholecystectomy. JSLS 2000;4:103-7.

Downloads

Published

2022-09-30

How to Cite

1.
Praemanathan H, Khor Ee IH, Aik Guan Y, Izwan Ismail M. Duct of Luschka Injury - The Biloma Dilemma: A Case Report. Thai J Surg [Internet]. 2022 Sep. 30 [cited 2024 May 15];43(3):118-21. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/255908

Issue

Section

Case Reports