Biloma, a newly described entity, was first introduced in 1979 by Gould and Patel to describe extrahepatic loculated collection of bile due to traumatic bile duct rupture.
Subsequently, the definition was expanded to include intrahepatic bile collections located outside the bile ducts. Bilomas are caused by iatrogenic, traumatic, or spontaneous rupture of biliary tree. Prior reports have documented an association
of
biloma with abdominal trauma and abdominal surgery, but spontaneous bile leakage associated with other primary causes has been reported rarely. A 67-year-old man was admitted to Pusan National University Hospital with complaint of fever, chills,
vague
epigastric discomforts and yellowish discoloration of the sclerae. Huge cystic mass was detected by ultrasonography and CT scan and choledocholithiasis was detected by ERCP. Biloma was confirmed by sonographic guided percutaneous needle
aspiration
and
drained successfully with pig tail catheter(8.5 French). We present a case of biloma associated with choledocholithiasis with review of the literatures. (Korean J Gastroenterol 1994 ; 26 : 206-209)
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