A Case Report and Literature Review of Icterus Marginatus: Demarcated Subcutaneous Jaundice, A Sign of Retroperitoneal Bile Leak After Laparoscopic Cholecystectomy

Abstract

Laparoscopic cholecystectomy (LC) is one of the most commonly performed general surgical procedures worldwide. Common bile duct (CBD) injuries are occasionally seen after this procedure and manifest as biliary peritonitis or bile collection; however, retroperitoneal bile leak is an extremely rare phenomenon manifesting as yellow discoloration of the abdominal wall, and a few cases are reported in the English literature. In this article, we describe one case of retroperitoneal bile leak that manifested as flank discoloration and its management.