- Accessory bile duct
Accessory bile duct
Duct of Luschka
In the surgical literature, the term duct of Luschka is used to refer to an accessory bile duct that does not communicate with the gallbladder lumen. The term is ambiguous otherwise, as it may refer to supravescicular or subvescicular ducts. Supravesicular ducts are typically in the gallbladder bed.
Accessory cystic ducts are excluded from the definition of duct of Luschka; however, they are accessory bile ducts.
Although they may not drain any liver parenchyma, they can be a source of a bile leak or biliary peritonitis after cholecystectomy in both adults and children. If an accessory bile duct goes unrecognized at the time of the gallbladder removal, 5-7 days post-operative the patient will develop bile peritonitis, an easily treatable complication with a morbidity rate of 44% if left untreated.
Often diagnosed by HIDA scan, a bile leak from an accessory bile duct post-op can be treated with a temporary biliary stent to redirect the bile from the liver into the intestine and allow the accessory duct to spontaneously seal themselves.
- ^ accessory at eMedicine Dictionary
- ^ a b Sharif K, de Ville de Goyet J (November 2003). "Bile duct of Luschka leading to bile leak after cholecystectomy--revisiting the biliary anatomy". J. Pediatr. Surg. 38 (11): E21–3. doi:10.1016/j.jpedsurg.2003.08.008. PMID 14614740. http://linkinghub.elsevier.com/retrieve/pii/S0022346803005980.
- ^ a b McQuillan T, Manolas SG, Hayman JA, Kune GA (July 1989). "Surgical significance of the bile duct of Luschka". Br J Surg 76 (7): 696–8. doi:10.1002/bjs.1800760715. PMID 2765803.
- ^ a b Ko K, Kamiya J, Nagino M, et al. (July 2006). "A study of the subvesical bile duct (duct of Luschka) in resected liver specimens". World J Surg 30 (7): 1316–20. doi:10.1007/s00268-005-0469-z. PMID 16830216.
- ^ a b Spanos CP, Syrakos T (September 2006). "Bile leaks from the duct of Luschka (subvesical duct): a review". Langenbecks Arch Surg 391 (5): 441–7. doi:10.1007/s00423-006-0078-9. PMID 16927110.
- ^ Luschka's ducts at Who Named It?
Anatomy of torso, digestive system: accessory digestive glands (TA A05.8–9, TH H3.04.05-07, GA 11.1188) LiverHepatocyte · Hepatic stellate cell · Kupffer cell Biliary tract Pancreas
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