Bilioma pdf

Abstract. A previously well 84 year old man without prior history of abdominal trauma, instrumentation or surgery presented with localized biliary peritonitis (biloma). An associated bile duct stone was detected by abdominal ultrasound and endoscopic retrograde cholangiopancreatography and was successfully treated with systemic antibiotics and moved, and the percutaneous biloma drainage catheter was left in place. After 3 weeks of drainage, ERCP was reat-tempted and drainage of the bile duct was achieved. A large leak from a main left branch duct was found. The leaking duct was treated with a plastic stent that extended into the biloma cavity. After 2 days, the patient was dis- Biloma is defined as any collection of bile outside the biliary tree, usually resulting from surgery complications and abdominal trauma. Spontaneous occurrence of bilomas is rare, occasionally associated with choledocolithiasis. The present report describes a case of spontaneous biloma, whose diagnosis was radiologically confirmed. December 30, 2016 Written by Super User Published in General Surgery Bilioma is a rare abnormal localized collection of bile outside biliary tree due to an injury or biliary leak post operatively. Case: A 15 years old male presented to us with complaint of greenish discharge from abdominal scar with generalized abdominal pain. CT scan images of late presenting intra-hepatic bilioma are shown. Blunt injury abdomen causing biliary injury is rare in children. Collection of bile within or outside the liver after biliary injury is called bilioma. Download PDF. Images in Surgery; Published: 20 April 2014; Posttraumatic Intrahepatic Bilioma. M. Ragavan 1, A. Duraiprabhu bile-filled cyst ("biloma") and discuss its possible pathogenesis. This complication has not been previ­ ously described in patients with sickle cell disease. Case Report A 29-yr-old woman with sickle cell disease was admitted in October 1982 for evaluation of fever, right upper quadrant pain, and jaundice. In 1975, she had a A biloma is an encapsulated collection of bile outside the biliary tree and within the abdominal cavity. It can either be intrahepatic or extrahepatic. It is a rare condition with an incidence of 0.3% to 2.0% [1]. The most common etiologies include choledocholithiasis, abdominal trauma, and iatrogenic causes, such as postlaparoscopic Biloma : kumpulan cairan empedu di luar traktus bilier dengan batas yang jelas (well demarcated), baik dengan kapsul maupun tanpa kapsul. f Definisi Kasus pertama biloma dilaporkan oleh Gould dan Patel (1979), mereka melaporkan suatu kasus dengan kebocoran cairan empedu (bile leakage) ekstrahepatik post trauma abdomen kuadran kanan atas. reach the biloma, but not the right he-patic duct. Therefore, rendezvous biliary recanalization within the biloma com-bining endoscopic and percutaneous approaches was attempted. After coiling the guidewire within the biloma under ERCP guidance, an EN snare (Merit Medi-cal, West Jordan, Utah, USA) designed with three interlaced loops to retrieve Abstract. A biloma is a rare disease characterized by an abnormal intra- or extrahepatic bile collection due to a traumatic or spontaneous rupture of the biliary system. Laboratory findings are nonspecific. The diagnosis is usually suspected on the basis of a typical history (right upper quadrant abdominal pain, chills, fever and recent General Features. • Best diagnostic clue. Loculated fluid collection of simple fluid attenuation in close proximity to liver or biliary tree. • Location. Either intrahepatic or extrahepatic. - Most commonly perih