how to differnetiate b/w post operatavive bile leak vs post cholecystwctony syndrome , if only clinical symptoms are given without any investigations?
Bile leak would present as fever, jaundice
Post cholecystectomy syndrome will start weeks/ months later with pain similar to biliary colic
Post Op bile leak : fever , progressive jaundice , collection in perihepatic space
Post cholecystectomy syndrome : pain similar to biliary colic +/- New onset persistent dyspepsia which doesn’t improve on PPi or postural change and last for more than 30 min