A Case of Spontaneous Biloma Complicated with Choledocholithiasis and Chronic Cholecystitis.
- Author:
Yong Hwan AHN
1
;
Tae Hyeon KIM
;
Bong Jun YANG
;
Hyo Jeong OH
;
Eun Young CHO
;
Mi Ryeung SIM
;
Yong Sung KIM
;
Young Woo SOHN
;
Chang Su CHOI
;
Suck Chei CHOI
;
Yong Ho NAH
;
Hye Won KIM
;
Sang Wook KIM
Author Information
1. Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea. kth@wmc.wonkwang.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Biloma;
Choledocholithiasis;
Endoscopic sphincterotomy
- MeSH:
Aged;
*Bile;
Cholecystitis/*complications/diagnosis;
Choledocholithiasis/*complications/diagnosis;
English Abstract;
Humans;
Male
- From:The Korean Journal of Gastroenterology
2005;46(2):133-136
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A biloma is an encapsulated bile collection outside the biliary tree. Most cases of biloma are caused by iatrogenic injury or trauma. Intrahepatic rupture of the biliary tree due to nontraumatic cause is a rare event. A 68- year-old man was admitted because of abdominal pain and fever. He had no past history of abdominal surgery, instrumentation or trauma. Computed tomography (CT) scan and magnetic resonance cholangiopancreatography (MRCP) demonstrated a large subcapsular fluid collection in the right liver associated with choledocholithiasis and cholecystitis. Biloma was confirmed by sono-guided percutaneous needle aspiration and was drained through a pigtail catheter. After the successful treatment by percutaneous drainage and endoscopic sphincterotomy, the patient recovered. Here, we report an uncommon case of spontaneous biloma formation in association with choledocholithiasis with a review of literatures.
