2026 Volume 68 Issue 6 Pages 1164-1170
A 44-year-old man underwent laparoscopic cholecystectomy for acute cholecystitis. Postoperatively, an abscess and biliary pseudocyst developed at the gallbladder resection site. Despite percutaneous and endoscopic biliary drainage, bile leakage persisted; thus, disconnected bile duct leakage was diagnosed. Endoscopic ultrasound-guided abscess drainage (EUS-AD) was performed from the duodenal bulb, creating an internal fistula between the abscess and duodenum and facilitating internal biliary drainage. Postoperatively, the patient’s symptoms and bile leakage improved rapidly. The patient was discharged 15 days after EUS-AD. Computed tomography 18 months postoperatively revealed liver parenchymal atrophy, and the stent was removed. No recurrence of the biliary pseudocyst was observed. EUS-AD is a valuable treatment option for disconnected bile duct leakages.
