A 50-year-old female, with no medical history, was referred to our hospital post-cholecystectomy for acute cholecystitis, due to external bile leakage on the third day. Clinical examination was normal and there was no melenae. A contrast study through the drain revealed an opacification of the bile ducts (black arrow) and the right portal vein (white arrow) (Fig. 1). Considering the hemodynamic stability and the absence of hemobilia, a conservative approach was undertaken. The bile leakage resolved on its own. Post-cholecystectomy occurrence of this condition is rare and it often necessitates surgery or interventional radiology, particularly in cases of abundant hemobilia.
Diagnosis: Bilio-portal Fistula
Ethics Approval: No authorization by an ethics committee for receiving a treatment was required, given that we only described a case, respecting the patient’s privacy. Consent was obtained for publication.
Authors have no conflict of interest to declare.
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
