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