Introduction : Laparoscopic cholecystectomy and open cholecystectomy can be complicated by postoperative bile leakage. Bile leakage from ducts of luschka is reported to be the second most common cause, reported in 0.15%-2% of the patients. We performed open cholecystectomy and appendectomy in 69 year old female patient of gallbladder stone with cholecystitis and appendicitis. Bile leak from duct of luschka and common bile duct were occurred and treated with internal biliary stent through common bile duct. This is the first case of spontaneous healing of bile leakage from duct of luschka after open cholecystectomy and appendectomy.

Methods : We present the first case of a 69 year old female patient with gallbladder stone with cholecystitis and appendicitis. Abdomen CT didn't show duct of luschka and left side common bile duct of porta hepatis. After open cholecystectomy and appendectomy, bile leakage were identified from duct of luschka and common bile duct and barovac drainage was kept. 60-70cc bile leak per daily was occurred and we treated bile leakage with internal biliary stent through common bile duct.

Results : Placement of biliary stent to release the pressure in the bile ducts was performed through common bile duct and in the next few days, the bile leak were eventually ceased. The patient was free of symptoms and no sign of bile leak.

Conclusions : Biliary complication may occur from injury of ducts of luschka and this rare ducts are usually discovered intraoperatively. Bile leakage from ducts of luschka were treated with placement of biliary stent, nasobilary drainage, endoscopic clip. We report