A Nontraumatic Rupture of Intrahepatic Bile Duct and Perihepatic Biloma Formation in a Patient with Choledocholithiasis: A Case Report.
- Author:
Kyong Hwa JUN
1
;
Hyun min CHO
;
Hyung min CHIN
;
Jin mo YANG
;
Seong Su HWANG
;
Chung Soo CHUN
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Korea. hchin@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Biloma;
Spontaneous;
Choledocholithiasis
- MeSH:
Abdominal Cavity;
Abscess;
Aged;
Bile;
Bile Ducts;
Bile Ducts, Intrahepatic*;
Biliary Tract;
Cholangiography;
Cholecystectomy;
Cholecystitis;
Choledocholithiasis*;
Choledochostomy;
Humans;
Hyperplasia;
Liver;
Mastectomy, Segmental;
Rupture*;
Rupture, Spontaneous;
Sclera;
Ultrasonography
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2004;8(1):46-49
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A biloma is an extrahepatic or intrahepatic bile collection caused by traumatic, iatrogenic, or spontaneous rupture of the biliary tree. Prior reports have documented an association of a biloma with abdominal trauma and surgery, but spontaneous bile leakage associated with other primary causes has rarely been reported. A 72-year-old man was admitted to our hospital with the complaint of epigastric pain and yellowish discoloration of the sclera. Ultrasonography and computed tomography revealed a large fluid collection in the abdominal cavity. Endoscopic retrograde cholangiography demonstrated leakage of contrast medium from a distended segmental biliary branch in the left lobe of the liver. A perihepatic biloma was confirmed by sonographically guided percutaneous aspiration, and the patient underwent a left lateral segmentectomy of the liver, a cholecystectomy and T-tube choledochostomy. Histological examination showed left lateral bile duct hyperplasia, with abscess formation and chronic cholecystitis. Herein, a case of a biloma associated with choledocholithiasis is reported, with a review of the literatures.
