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KMID : 0870420040080010046
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2004 Volume.8 No. 1 p.46 ~ p.49
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A Nontraumatic Rupture of Intrahepatic Bile Duct and Perihepatic Biloma Formation in a Patient with Choledocholithiasis
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Jun Kyong-Hwa
Cho Hyeon-Min
Chin Hyung-Min
Yang Jin-Mo
Hwang Seong-Su
Chun Chung-Soo
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Abstract
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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 bikxna with abdominal trauma and surgery, but spontaneous bile leakage associated with other primary uses has tarely been reported. A 72-year-old man was admitted to our hospital with the complaint of epigastric pain and yellowish discoloration of the sclera. Uttrasonography 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 cholecystedomy and T-tube c holedoc hostomy. Histological examination showed left lateral bile dud hyperplasia, with abscess formation and chronic cholecystitis. Herein a case of a biloma associated with dole lochdithiasis is reported, with a review of the literatures.
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KEYWORD
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Biloma, Spontaneous, Choledocholithiasis
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