title: [A case of spontaneous biloma complicated with choledocholithiasis and chronic cholecystitis].
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.
authors.affiliation: Departments of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors.forename: Yong Hwan
authors.initials: YH
authors.lastname: Ahn
authors.forename: Tae Hyeon
authors.initials: TH
authors.lastname: Kim
authors.forename: Bong Jun
authors.initials: BJ
authors.lastname: Yang
authors.forename: Hyo Jeong
authors.initials: HJ
authors.lastname: Oh
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Cho
authors.forename: Mi Ryeung
authors.initials: MR
authors.lastname: Sim
authors.forename: Yong Sung
authors.initials: YS
authors.lastname: Kim
authors.forename: Young Woo
authors.initials: YW
authors.lastname: Sohn
authors.forename: Chang Su
authors.initials: CS
authors.lastname: Choi
authors.forename: Suck Chei
authors.initials: SC
authors.lastname: Choi
authors.forename: Yong Ho
authors.initials: YH
authors.lastname: Nah
authors.forename: Hye Won
authors.initials: HW
authors.lastname: Kim
authors.forename: Sang Wook
authors.initials: SW
authors.lastname: Kim
mesh_terms: D000368:Aged; D001646:Bile; D002764:Cholecystitis / Q000150:complications* / Q000175:diagnosis; D042883:Choledocholithiasis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male