Spontaneous Biloma Caused by Pancreatic Cancer and Treated by Endoscopic Biliary Stenting.
- Author:
Ji Young PARK
1
;
Jin LEE
;
Soon Jae LEE
;
Se Ah KWON
;
Dong Hee KOH
;
Min Ho CHOI
;
Hyun Joo JANG
;
Sea Hyub KAE
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. helico6@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Biloma;
Pancreatic cancer;
Biliary stenting;
Endoscopic retrograde cholangiopancreatography
- MeSH:
Abdominal Pain;
Aged, 80 and over;
Bile;
Cholangiography;
Cholangiopancreatography, Endoscopic Retrograde;
Common Bile Duct;
Dilatation;
Drainage;
Fever;
Head;
Humans;
Liver;
Pancreatic Neoplasms;
Plastics;
Stents
- From:Korean Journal of Gastrointestinal Endoscopy
2011;42(3):190-194
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Biloma is a rare disorder, and is defined as an abnormal extrahepatic or intrahepatic collection of bile within a defined capsular space. The common causes of biloma are iatrogenic and trauma. Spontaneous biloma, especially caused by pancreatic cancer, is very rare. An 86-year-old man was admitted with abdominal pain and fever. The patient denied a history of abdominal surgery, endoscopic retrograde cholangiography, or trauma. Abdominal computed tomography demonstrated a huge collection of fluid in the left lobe of the liver, dilatation of the intra and proximal common bile duct, and a heterogeneous enhancing mass in the pancreatic head portion. Percutaneous drainage under ultrasound guidance was performed, and the fluid analysis was compatible with biloma. A plastic stent was endoscopically inserted into the common bile duct to treat continuous drainage of the fluid despite percutaneous drainage. We report a case of biloma developed spontaneously in a patient with pancreatic cancer and successfully treated by endoscopic biliary stenting.
