Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Jan 6:5:3.
doi: 10.1186/1752-1947-5-3.

Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report

Gurhan Bas  1 , Ismail Okan, Mustafa Sahin, Ramazan Eryılmaz, Arda Isık
Affiliations

Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report

Gurhan Bas et al. J Med Case Rep. .

Abstract

Introduction: Spontaneous biloma formation is a very rare condition, which mandates immediate treatment.

Case presentation: An 80-year-old Caucasian man was referred to our department with a diagnosis of intra-abdominal collection located in his right upper quadrant. Further radiological examination demonstrated multiple calculi in his gallbladder and common bile duct. Our patient underwent endoscopic retrograde cholangiopancreatography and the stones in the common bile duct were extracted. Percutaneous drainage of the abdominal collection revealed a spontaneous biloma formation. Continuous drainage of bile persisted for one week, so endoscopic retrograde cholangiopancreatography was repeated and a 10Fr stent was placed; subsequently the biliary leak ceased and our patient was discharged. A control abdominal computed tomography did not show any residual fluid collection.

Conclusion: Spontaneous biloma formation is a very rare incidence; awareness is necessary for prompt recognition and treatment.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Initial abdominal CT demonstrating a large right hepatic subcapsular collection.
Figure 2
Figure 2
Abdominal MRI showing CBD stones.
Figure 3
Figure 3
The ERCP findings reveal relation of the biloma with the intrahepatic biliary tree.
Figure 4
Figure 4
Abdominal CT showing complete resolution of the biloma after management.
See this image and copyright information in PMC

References

    1. Gould L, Patel A. Ultrasound detection of extrahepatic encapsulated bile: "biloma". AJR Am J Roentgenol. 1979;132(6):1014–1015. - PubMed
    1. Vazquez JL, Thorsen MK, Dodds WJ, Quiroz FA, Martinez ML, Lawson TL, Stewart ET, Foley WD. Evaluation and treatment of intraabdominal bilomas. AJR Am J Roentgenol. 1985;144(5):933–938. - PubMed
    1. Lee JH, Suh JI. A Case of infected Biloma due to spontaneous intrahepatic biliary rupture. Korean J Intern Med. 2007;22(3):220–224. doi: 10.3904/kjim.2007.22.3.220. - DOI - PMC - PubMed
    1. Fujiwara H, Yamamoto M, Takahashi M, Ishida H, Ohashi O, Onoyama H, Takeyama Y, Kuroda Y. Spontaneous rupture of an intrahepatic bile duct with biloma treated by percutaneous drainage and endoscopic sphincterotomy. Am J Gastroenterol. 1998;93(11):2282–2284. doi: 10.1111/j.1572-0241.1998.00636.x. - DOI - PubMed
    1. Akhtar MA, Bandyopadhyay D, Montgomery HD, Mahomed A. Spontaneous idiopathic subcapsular biloma. J Hepatobiliary Pancreat Surg. 2007;14(6):579–581. doi: 10.1007/s00534-006-1182-5. - DOI - PubMed

LinkOut - more resources