Spontaneous hepatic subcapsular biloma: Report of three cases with review of the literature.
A biloma is an encapsulated bile collection outside the biliary tree. Most cases are caused mainly by iatrogenic injury and trauma, and are usually located in the sub-hepatic space. Spontaneous biloma is an uncommon entity. We report three rare cases of spontaneous hepatic subcapsular biloma formation in association with choledocholithiasis in two patients and cholangiocarcinoma in one patient. All the patients presented with extrahepatic biliary obstruction with no previous history of abdominal surgery, instrumentation, or trauma. Ultrasound and computerized tomography of the abdomen documented hepatic subcapsular biloma. The patients were initially managed with antibiotics and radiologically guided pigtail drainage of the collections, followed by definitive treatment of their underlying cause.
Department of General Surgery, Sher-i Kashmir Institute of Medical Sciences, Saura, Srinagar, Jamnu and Kashmir, India. drmajidmushtaque@gmail.com
Majid
M
Mushtaque
Mohammad
M
Farooq Mir
Parvez
P
Nazir
Parwez Sajad
PS
Khan
Vidhi
V
Dadu
Lateef
L
A Dar
Rayees
R
A Dar
Samina
S
A Khanday
D000368:Aged; D001646:Bile; D001649:Bile Duct Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D017734:Bile Ducts, Extrahepatic / Q000473:pathology*; D018281:Cholangiocarcinoma / Q000150:complications* / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D042883:Choledocholithiasis / Q000150:complications* / Q000601:surgery; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D007582:Jejunostomy; D008297:Male; D008875:Middle Aged; D016717:Sphincterotomy, Endoscopic; D014057:Tomography, X-Ray Computed