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Conditions and Diseases > Bile Duct Disorders Forum > Bile leak after cholecystectomy
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Q: Bile leak after cholecystectomy
asked by: suelj on January 19th, 2009
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Hi, I had a laproscopic cholecystectomy, I went home the next day and was recuperating nicely until 7 days post op, on a Friday, when I experienced the sudden onset of excrutiating abdominal pain, mostly upper right quadrant but radiating throughout the abdomen.

I was not diagnosed with a bile leak for 4 days since the hospital I was brought to did not perform nuclear testing on weekends and come to find out not on Mondays either. Instead I lay in agonizing pain counting the time until I could receive my next dilaudid shot.

Finally on Tuesday I had a hydascan and a leak from the gallbladder bed was diagnosed. On Wednesday I had an ECRP with stent placement. Upon waking up the pain was relieved.

I spent 2 more days in the hospital with my main complaint being bloating and cramping with passage of watery loose yellow stools. I was told that this is from the bile that had leaked into my abdominal cavity and would eventually resolve on it's own. It was being reabsorbed into my system.

My question is, is there anything that I can do to help this process along as it is causing a fair amount of discomfort. Should there have been a drain placed to drain the bile as I have read is often done. I still feel pain on my right upper quadrant, could this be a pool of bile and if so will it eventually resolve on it's own? Any in put would be greatly appreciated. Thanks
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Replies(8)
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embels76
replied on March 6th, 2009
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The same thing happened to me, however it wasn't until I begged for 10 days did someone listen to me. The CT scan found almost 2 litres of bile, pooling in my pelvis, gallbladder bed, and adjacent to my liver. The bile had turned septic, and I was really ill. I was operated on, by having a cut from neck to groin, to wash the bile out, and all my internal organs. Then I had 4 drains inserted, and spent 6 weeks in hospital. 6 months later it looks like I need a partial biliary restructure. The pain is awful, and constant. I'm actually taking legal action against the surgeon and the hospital. The bile sitting in there for so long has caused irreparable damage. I think the pain you feel, you should take seriously, it could be bile duct spasms, or adhesion's. Talk to a doctor, and get a second opinion..
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shelbelle69
replied on May 11th, 2009
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OMG
I am going through this right now! I had my laproscopic cholecystectomy in Feb, it is now May. I have been to see Dr's, specialist and have been diognosed with everything to water retention after surgery to Auto Immune Hep! Fially when I was ready to give up my sister out of worry called our family Dr. he set me up with an ultra sound and they found a bile duct leak. I have to go for a Hydascan this thursday. How could this have been OVERLOOKED FOR 3 MONTHS??? the pain & bloating is inbelievable! I am in mmore pain now then i was with the stone in my gallbladder! I vomit at least once a day and I am sick if I don't eat and sick if I do eat! I am amazed by the neglect of something so well known by these Dr.'s and specialists!
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glendamae
replied on August 2nd, 2009
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Bile Leak also
Suej - Exactly the same thing happened to me. I was 6 days out doing great. Bile leak, ERCP, and now waiting for my bile to absorb.

My question is how are you feeling now? Was getting your stint out another issue? Looking forward to hear from you.
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TravelBug00
replied on August 8th, 2009
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I had a bile leak in Nov 2007 and still feel pain in the right upper quadrant. After various tests showing "nothing" I do sometimes wonder whether leakage can continue after the site has supposedly healed.
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2tired2fightnemore
replied on August 10th, 2009
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i feel for all of you....i have been suffering from the same systems for 10 yrs and i still can't get dr's to investigate....good luck to you all! obviously, there is no end in site for me!!
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TravelBug00
replied on August 10th, 2009
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Is Research Needed?
Maybe I could write a "research article", based on the experiences of people who are keen to be involved and who visit this forum? We could promote the article to the medical profession. I'm no medic.. but I can write research papers! Its hard to make contact with people in this situation. I think many people suffer alone and are not recognised, because its a fairly specific area (and the injury (bile burn) is very specific too. I've seen medical articles that look at the statistical incidence of bile leak... but no-one seems to look at the effects on our lives, our daily activities and our need for medical acknowledgement and investigation. I don't mean to be cynical, but maybe this is because we are the result of medical "accidents" caused by surgeons? I don't know whether this site allows us to collect our experiences together, using a short questionnaire placed here perhaps? I'd be happy to put one together if anyone is interested in joining me in this.
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OrangePoppy
replied on September 26th, 2009
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Hello,
I'm wondering if I have a bile leak. I had my gallbladder removed in Jan 09. 3 days after the surgery, I felt intense burning on my right side and have been suffering ever since. Mosly, burning, gastritis, reflux feelings. Upper endoscopy in Apr showed mild gastritis and excessive bile in my stomach. Drs keep telling me I'm fine and I'm just ultra sensitive to pain. What???? Is burning a symptom of bile leak?
Thanks!
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sugarlump
replied on September 27th, 2009
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I had laproscopic gallbladder surgery which resulted in a bile leak that was diagnosed 5 days after surgery. A stent was placed and removed 6 weeks later. I was told that everything is now OK. When I had another surgery(unrelated - different area) , I felt severe pain in the area under my right ribcage which radiated to my back. That pain subsided after a day or two. I still feel a small amount of pain just under my right rib cage from time to time. An ultrasound revealed nothing, and I was told if I still had a bile leak, I would still have severe pain. I still worry about the long term effects of this. I would think that scar tissue is present in my abdomen from this.
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