title: Biloma following repeated transcatheter arterial embolization and complicated by intrahepatic duct stones: a case report.
abstract: Biloma is an encapsulated bile collection outside the biliary tree due to a bile leak. It is occasionally found following traumatic liver injury or iatrogenic injury to the biliary tract, induced either during an endoscopic or surgical procedure. It is a rare complication of transcatheter arterial embolization (TAE). Although biloma can be shrunk by appropriate aspiration or drainage in majority of cases, we report a case of intrahepatic biloma following repeated TAE for hepatocellular carcinoma (HCC) and complicated by infection and intrahepatic stones. This particular constellation of problems has not been reported before and the intrahepatic stones need to be removed by percutaneous procedure.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan, China. mingjen.ch@msa.hinet.net
authors.forename: Ming-Jen
authors.initials: MJ
authors.lastname: Chen
authors.forename: Ching-Chung
authors.initials: CC
authors.lastname: Lin
authors.forename: Wen-Hsiung
authors.initials: WH
authors.lastname: Chang
authors.forename: Fei-Shih
authors.initials: FS
authors.lastname: Yang
mesh_terms: D000368:Aged; D001646:Bile / Q000378:metabolism; D001653:Bile Ducts, Intrahepatic / Q000293:injuries*; D006528:Carcinoma, Hepatocellular / Q000628:therapy; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D042882:Gallstones / Q000150:complications*; D006801:Humans; D008113:Liver Neoplasms / Q000628:therapy