Abstract
Laparoscopic cholecystectomy (LC) has become the standard treatment for symptomatic cholelithiasis. Bile duct injury remains worrisome complication. We report a case of post-LC biloma causing empyema, respiratory distress and sepsis that was managed successfully. A 44-year-old male had bile leak post-LC. Endoscopic retrograde cholangiopancreatography showed common bile duct (CBD) injury. CBD stenting was done. 2 days later he developed severe sepsis due to Klebsiella pneumoniae biloma and empyema. Both were drained by computerized tomographic scan guided pigtail catheter. Empyema required further video-assisted thoracoscopic surgery. Bile leak following LC may progress to biloma and K. pneumoniae empyema with sepsis. Minimal invasive surgical procedure is a helpful and effective treatment.
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