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



• 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.


To read more or access our algorithms and calculators, please log in or register.