Hepatic biloma complicating sickle cell disease. A case report and a review of the literature.
Previously reported hepatobiliary complications of sickle cell disease include cholelithiasis, intrahepatic cholestasis, cirrhosis, hepatic crisis, abscess, and infarction. We present a case of right upper quadrant pain, fever, and jaundice in a patient with sickle cell disease. An expanding intrahepatic bile-filled cyst ("biloma") was demonstrated as a possible consequence of hepatic infarction. The literature regarding the possible pathogenesis of this entity is reviewed.
D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications*; D001646:Bile / Q000032:analysis*; D003560:Cysts / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000150:complications* / Q000175:diagnosis; D014463:Ultrasonography