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KMID : 0359020110420030190
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 3 p.190 ~ p.194
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Spontaneous Biloma Caused by Pancreatic Cancer and Treated by Endoscopic Biliary Stenting
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Park Ji-Young
Lee Jin
Lee Soon-Jae
Kwon Se-Ah
Koh Dong-Hee
Choi Min-Ho
Jang Hyun-Joo
Kae Sea-Hyub
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Abstract
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Biloma is a rare disorder, and is defined as an abnormal extrahepatic or intrahepatic collection of bile within a defined capsular space. The common causes of biloma are iatrogenic and trauma. Spontaneous biloma, especially caused by pancreatic cancer, is very rare. An 86-year-old man was admitted with abdominal pain and fever. The patient denied a history of abdominal surgery, endoscopic retrograde cholangiography, or trauma. Abdominal computed tomography demonstrated a huge collection of fluid in the left lobe of the liver, dilatation of the intra and proximal common bile duct, and a heterogeneous enhancing mass in the pancreatic head portion. Percutaneous drainage under ultrasound guidance was performed, and the fluid analysis was compatible with biloma. A plastic stent was endoscopically inserted into the common bile duct to treat continuous drainage of the fluid despite percutaneous drainage. We report a case of biloma developed spontaneously in a patient with pancreatic cancer and successfully treated by endoscopic biliary stenting.
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KEYWORD
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Biloma, Pancreatic cancer, Biliary stenting, Endoscopic retrograde cholangiopancreatography
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