5 days after CBD surgery there is a small leak. What will be the best treatment: (A) Ultrasound guided aspiration, (B) ERCP and stenting, (C) Re-exploration and hepaticojejunostomy, (D) Re-exploration and primary repair
Answer is A. There is a small leak which can be managed by ultrasound guided aspiration. Many bile leaks resolve with percutaneous drainage alone, and ERCP is probably unnecessary in the absence of radiographic or clinical evidence of ongoing bile drainage Ref: Blumga 5th edition Pgno :627