Korean J Hepatobiliary Pancreat Surg.  2004 Mar;8(1):46-49.

A Nontraumatic Rupture of Intrahepatic Bile Duct and Perihepatic Biloma Formation in a Patient with Choledocholithiasis: A Case Report

• Jun KH
• Cho HM
• Chin HM
• Yang JM
• Hwang SS
• Chun CS

Abstract

A biloma is an extrahepatic or intrahepatic bile collection caused by traumatic, iatrogenic, or spontaneous rupture of the biliary tree. Prior reports have documented an association of a biloma with abdominal trauma and surgery, but spontaneous bile leakage associated with other primary causes has rarely been reported. A 72-year-old man was admitted to our hospital with the complaint of epigastric pain and yellowish discoloration of the sclera. Ultrasonography and computed tomography revealed a large fluid collection in the abdominal cavity. Endoscopic retrograde cholangiography demonstrated leakage of contrast medium from a distended segmental biliary branch in the left lobe of the liver. A perihepatic biloma was confirmed by sonographically guided percutaneous aspiration, and the patient underwent a left lateral segmentectomy of the liver, a cholecystectomy and T-tube choledochostomy. Histological examination showed left lateral bile duct hyperplasia, with abscess formation and chronic cholecystitis. Herein, a case of a biloma associated with choledocholithiasis is reported, with a review of the literatures.

Keyword

Biloma; Spontaneous; Choledocholithiasis

MeSH Terms

Abdominal Cavity
Abscess
Aged
Bile
Bile Ducts
Bile Ducts, Intrahepatic*
Biliary Tract
Cholangiography
Cholecystectomy
Cholecystitis
Choledocholithiasis*
Choledochostomy
Humans
Hyperplasia
Liver
Mastectomy, Segmental
Rupture*
Rupture, Spontaneous
Sclera
Ultrasonography