Demarcated Truncal Jaundice: A Sign of Retroperitoneal Bile Leakage

  1. Vivian C. McAlister, MB; and
  2. Alp Sener, MD
  1. From University of Western Ontario, London, Ontario N6A 5A5, Canada.

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    TO THE EDITOR:

    Background: The usual treatment for abdominal collection of bile is percutaneous drainage followed by endobiliary stenting for persistent leaks (1). Delayed drainage can have severe consequences (1). Retroperitoneal bile leaks may behave differently and require different care.

    Case Reports: A 43-year-old man was referred with abdominal pain and …

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