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KMID : 0359019950150040783
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Korean Journal of Gastrointestinal Endoscopy
1995 Volume.15 No. 4 p.783 ~ p.787
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A Case of Posttraumatic Biloma
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한민수
이상경/동석호/이상목/김효종/김병호/장영운/이정일/장린
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Abstract
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Biloma is defined as an extraductular collection of bile within a defined capsular space. Biloma usually occurs secondary to traumatic or iatrogenic injury including abdominal surgery, percutaneous catheter drainage, and transhepatic
cholangiography.
The diagnostic methods include clinical history and physical examination, abdominal ultrasound, abdominal CT scan, hepatobiliary scintigraphy, endoscopic cholangiography and percutaneous aspiration. Though definite treatment by percutaneous
radiographic
catheter drainage and endoscopic drainage with sphincterotomy are now feasible in many instances, surgical drainage is often needed.
We report a case of posttraumatic biloma which was developed after car accident. Liver scan and endoscopic cholangiography showed typical features of biloma in this patients. (Kor J Gastrointest Endosc 15: 783~787, 1995)
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