A case of infected biloma due to spontaneous intrahepatic biliary rupture.
A "biloma" is a loculated collection of bile located outside of the biliary tree. It can be caused by traumatic, iatrogenic or spontaneous rupture of the biliary tree. Prior reports have documented an association of biloma with abdominal trauma, surgery and other primary causes, but spontaneous bile leakage has rarely been reported. A spontaneous infected biloma, without any underlying disease, is a very rare finding. We recently diagnosed a spontaneous infected biloma by abdominal computed tomography and sonographically guided percutaneous aspiration. The patient was successfully managed with percutaneous drainage and intravenous antibiotics. We report here a case of infected biloma caused by spontaneous rupture of the intrahepatic duct, and review the relevant medical literature.
Lee
Joong Hyun
JH
Department of Internal Medicine, Dongguk University College of Medicine, Gyeongju, Korea.
Suh
Jeong Ill
JI
D000368:Aged; D001646:Bile; D001649:Bile Duct Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging*; D002758:Cholangiography; D004322:Drainage; D004927:Escherichia coli Infections / Q000150:complications*; D005260:Female; D006801:Humans; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed