Postcholecystectomy Abdominal Bile Collections

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Abstract
BILE COLLECTIONS within the peritoneal cavity have various causes, but they most often occur as a manifestation of bile duct injury or some other technical complication of laparoscopic cholecystectomy. Unless drains have been used, a bile leak leads to accumulation of bile in the abdomen. Previous reports have suggested that bile peritonitis, with guarding and rebound tenderness, is the principal manifestation of an abdominal bile collection, but this is actually an uncommon presentation early in the patient's course.1-6 While a few patients do have such clinical findings, most have much milder symptoms, best referred to as bile ascites.7

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