{"id":4697,"date":"2010-11-17T02:02:17","date_gmt":"2010-11-17T07:02:17","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=4697"},"modified":"2013-05-29T11:56:03","modified_gmt":"2013-05-29T15:56:03","slug":"duct-luschka-injury","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2010\/11\/duct-luschka-injury\/","title":{"rendered":"Duct of Luschka Injury"},"content":{"rendered":"
The duct of Luschka is a normal variant that drains bile directly from the liver parenchyma into the gallbladder. It typically is located on the posterior gallbladder wall and is injured or unrecognized in .04% to 0.2% of cholecystectomies (gallbladder removal.)<\/p>\n
It most commonly presents 1 week after gallbladder resection with nausea, vomiting, and abdominal pain from the freely draining bile into the abdominal cavity.<\/p>\n
ERCP is performed for suspected duct of Luschka injuries as the test is both diagnostic and therapeutic. If the leak is considered low-grade, sphincterotomy is performed and is successful in closing the leak about 90% of the time. For high-grade leaks (i.e., leaks that present relatively earlier in the post-operative course) stenting is used with virtually all leaks closing.<\/p>\n
In the unusual situation where the leak does not close, the treatment of choice is then percutaneous transhepatic cholangiography (PTC.)<\/p>\n","protected":false},"excerpt":{"rendered":"
The duct of Luschka is a normal variant that drains bile directly from the liver parenchyma into the gallbladder. It typically is located on the posterior gallbladder wall and is injured or unrecognized in .04% to 0.2% of cholecystectomies (gallbladder removal.) It most commonly presents 1 week after gallbladder resection with nausea, vomiting, and abdominal […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[16,5126,13],"tags":[3448,3449,3450,3451],"yoast_head":"\n