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

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

Full description

Saved in:
Bibliographic Details
Published in:Journal of medical case reports 2011-01, Vol.5 (1), p.3-3, Article 3
Main Authors: Bas, Gurhan, Okan, Ismail, Sahin, Mustafa, Eryılmaz, Ramazan, Isık, Arda
Format: Article
Language:English
Subjects:
Abdominal pain
Care and treatment
Case Report
Case studies
Diagnosis
Endoscopic retrograde cholangiopancreatography
Health aspects
Patient outcomes
Risk factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Spontaneous biloma formation is a very rare condition, which mandates immediate treatment. 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. Spontaneous biloma formation is a very rare incidence; awareness is necessary for prompt recognition and treatment.
ISSN:1752-1947
1752-1947
DOI:10.1186/1752-1947-5-3