Bile leakage may occur following an hepatic resection. Nagano et al listed criteria for its diagnosis. The authors are from Yokohama City University in Japan.
Patient selection: following hepatic resection
Criteria for bile leakage – one or more of the following:
(1) presence of bile in abdominal fluid drain (either > 5 mg/dL or >= 3 times the serum concentration)
(2) percutaneous drainage of a fluid collection consistent with bile
(3) evidence of bile leakage on cholangiography or other imaging study
where:
• It may be possible to see bile oozing from the cut surface of a liver.
• A collection of bile may become infected which may affect the bile composition In theory an infection should involve an organism that is bile tolerant.
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