E-ISSN 2367-699X | ISSN 2367-7414
 

Case Report 


SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE

Anubhav Goel, Prashant Gupta, Ankur Bansal.

Abstract
INTRODUCTION
Biloma is the collection of bile outside the biliary tree and can be intra or extra hepatic. It is most commonly iatrogenic, secondary to surgery or percutaneous transhepatic procedures or secondary to abdominal trauma. Spontaneous bilomas are very rarely described in the literature.
CASE REPORT
A 32 years old female presented as lump abdomen in epigastric region. Blood investigations were normal. Chest radiographs were unremarkable. Ultrasound examination revealed two cystic lesion in relation to left lobe of liver and cholelithiasis with choledocholithiasis. Ultrasound guided pigtail catheter drainage of the collection was done. ERCP failed to manage the choledocholithiasis. CBD exploration with choledocholithotomy and T-tube drainage and cholecystectomy was done. The postoperative period was uneventful, and the T-tube was removed on the 10th day after a normal T-tube cholangiogram.
CASE 2
32 year old female admitted in emergency with complain of acute pain in abdomen since 2 days. Ultrasound shows contracted gallbladder withstone along with focal collection in perihepatic and peri gallbladder region extending into subcutaneous plane with cbd stone.. Ultrasound guided pigtail catheter drainage of the collection was done. After 5 days she underwent ERCP by which cbd stones were cleared. Elective laparoscopic cholecystectomy was done.
CONCLUSION
A high index of clinical suspicion is necessary for prompt recognition and its proper management. Percutaneous treatment should be considered as the first-line option for patients with spontaneous biloma. In cases of persistent bile leaks, endoscopic biliary drainage and endoscopic sphincterotomy with or without stent placement should be performed. Surgery is now performed only in cases with a persistent bile leak or for treatment of an underlying disease.

Key words: BILIOMA, PIGTAIL, ERCP


 
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How to Cite this Article
Pubmed Style

Goel A, Gupta P, Bansal A. SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE. Int J Surg Med. 2018; 4(4): 202-204. doi:10.5455/ijsm.case-report-spontaneous-biloma


Web Style

Goel A, Gupta P, Bansal A. SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE. http://www.ejos.org/?mno=270817 [Access: December 11, 2018]. doi:10.5455/ijsm.case-report-spontaneous-biloma


AMA (American Medical Association) Style

Goel A, Gupta P, Bansal A. SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE. Int J Surg Med. 2018; 4(4): 202-204. doi:10.5455/ijsm.case-report-spontaneous-biloma



Vancouver/ICMJE Style

Goel A, Gupta P, Bansal A. SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE. Int J Surg Med. (2018), [cited December 11, 2018]; 4(4): 202-204. doi:10.5455/ijsm.case-report-spontaneous-biloma



Harvard Style

Goel, A., Gupta, . P. & Bansal, . A. (2018) SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE. Int J Surg Med, 4 (4), 202-204. doi:10.5455/ijsm.case-report-spontaneous-biloma



Turabian Style

Goel, Anubhav, Prashant Gupta, and Ankur Bansal. 2018. SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE. International Journal of Surgery and Medicine, 4 (4), 202-204. doi:10.5455/ijsm.case-report-spontaneous-biloma



Chicago Style

Goel, Anubhav, Prashant Gupta, and Ankur Bansal. "SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE." International Journal of Surgery and Medicine 4 (2018), 202-204. doi:10.5455/ijsm.case-report-spontaneous-biloma



MLA (The Modern Language Association) Style

Goel, Anubhav, Prashant Gupta, and Ankur Bansal. "SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE." International Journal of Surgery and Medicine 4.4 (2018), 202-204. Print. doi:10.5455/ijsm.case-report-spontaneous-biloma



APA (American Psychological Association) Style

Goel, A., Gupta, . P. & Bansal, . A. (2018) SPONTANEOUS BILOMA: REPORT OF TWO CASES WITH REVIEW OF THE LITERATURE. International Journal of Surgery and Medicine, 4 (4), 202-204. doi:10.5455/ijsm.case-report-spontaneous-biloma