Abstract
Biliary leaks are a complication of laparoscopic cholecystectomy thought to occur in approximately 1.1% of cases. 1 Barkun AN Rezieg M Mehta SN Pavone E Landry S Barkun JS et al. Post-cholecystectomy biliary leaks in the laparoscopic era: risk factors, presentation, and management. Gastrointest Endosc. 1997; 45: 277-282 Abstract Full Text Full Text PDF PubMed Scopus (132) Google Scholar ERCP has become a standard component in the approach to management of such cases, for diagnosis as well as treatment. However, there are few data on the sensitivity of ERCP in the identification of biliary leaks, which has been assumed to approach 100%. This is a case of biliary peritonitis caused by a bile leak after laparoscopic cholecystectomy that was not apparent on ERCP despite excellent opacification of the biliary tree.
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