Abdominal Wall Bile Staining Without Jaundice

Shahedi, Kamyar; Tejaswi, Sooraj

doi:10.1016/j.cgh.2016.03.010

Cited by 3 publications

(4 citation statements)

References 3 publications

(8 reference statements)

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“…In the latter case, the yellow stain was clearly delineated at 3 cm below the clavicle and 3 cm below the groin skin, where Scarpa’s fascia merges with the clavipectoral fascia and the fascia lata of the thigh—a sign called icterus marginatus 7. More recently, Shahedi and Tejaswi also reported a case with similar clinical presentation 8. In all these reported cases, the retroperitoneal bile leak was relatively benign.…”

Section: Discussionmentioning

confidence: 88%

Retroperitoneal bile leak after laparoscopic cholecystectomy

et al. 2018

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Bile duct injury (BDI) is a well-recognised complication of laparoscopic cholecystectomy (LC). Following a BDI, bile usually leaks into the peritoneal space and causes biliary peritonitis. This manifests as non-specific abdominal pain and fever occurring several days after the surgery. It can be managed by laparoscopic washout with or without bile duct repair. We present a rare case of retroperitoneal bile leak post-LC. The mechanism of injury here was likely partial avulsion from excessive traction of the cystic duct during intraoperative cholangiogram. Diagnosing retroperitoneal bile leak can be difficult because it is extremely rare and the presenting symptoms can be similar to an intraperitoneal bile leak. A high index of clinical suspicion is required. In cases of suspected bile leak, any mismatch between the exploratory laparoscopic findings and imaging findings should alert surgeons to consider the rare possibility of a retroperitoneal bile leak.

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Section: Discussionmentioning

confidence: 88%

Retroperitoneal bile leak after laparoscopic cholecystectomy

et al. 2018

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“…Despite the significant intra-abdominal pathology of this skin demarcation, all patients had good outcomes and went home except for one who passed away due to pulmonary issues. In one case, the patient's outcome was not mentioned [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

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

Qahtani¹,

Mahmoud²,

Kuwari³

et al. 2022

Cureus

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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.

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“…La fuga biliar posterior a una colecistectomía laparoscópica es infrecuente, pudiendo ocurrir en el 0.5-1% de los casos. Los pacientes suelen presentar dolor abdominal difuso o descarga persistente por una herida quirúrgica 2 .…”

Section: Comentariounclassified

“…La bilis extravasada puede difundir a través de varios planos anatómicos en la cavidad abdominal, llegando a la piel y produciendo máculas o parches amarillentos, lo que constituye el cuadro denominado icterus marginatus 2 . El mecanismo subyacente a la aparición de estas lesiones se entiende a partir del desarrollo embriológico de las diferentes capas del peritoneo.…”

Section: Comentariounclassified

<i>Icterus marginatus</i> secundario a fuga biliar tras colecistectomía laparoscópica

Astronave,

Valente

2023

MCUT

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Abdominal Wall Bile Staining Without Jaundice

Cited by 3 publications

References 3 publications

Retroperitoneal bile leak after laparoscopic cholecystectomy

Retroperitoneal bile leak after laparoscopic cholecystectomy

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

<i>Icterus marginatus</i> secundario a fuga biliar tras colecistectomía laparoscópica

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