Bilomas: A new approach to the diagnosis and treatment

Kuligowska, Ewa; Schlesinger, Alan E.; Miller, Kenneth B.; Lee, Victor W.; Grosso, Daniel

doi:10.1007/bf01948126

Cited by 41 publications

(20 citation statements)

References 8 publications

(8 reference statements)

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“…Biloma was first coined by Gould and Patel (10), but was redefined as intra-or extra-hepatic bile collection outside the biliary tree with well-demarcated capsule in 1983 by Kuligowska et al (11). Iatrogenic biliary injury, particularly cholecystectomy, is the predominant causative factor, followed by blunt abdominal injury (12,13).…”

Section: Discussionmentioning

confidence: 99%

A giant and insidious subphrenic biloma formation due to gallbladder perforation mimicking biliary cystic tumor: A case report

Zhu

Wang

Jiao

et al. 2016

Molecular and Clinical Oncology

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Abstract. Gallbladder perforation (GBP) represents a rare, but potentially life-threatening, complication of acute cholecystitis. GBP is subdivided into three categories whereas the development of biloma is extremely rare. The present case study reports on a 40-year-old man with a 10-year history of calculus cholecystitis, who was referred to The First Affiliated Hospital of Nanjing Medical University (Nanjing, China) for the surgical treatment of an emerging massive hepatic entity with insidious symptoms and normal laboratory tests. A preoperative imaging study demonstrated the collection with internal septations and mural nodules, but no visible communication with the biliary system. Given the suspected biliary cystic tumor, a laparotomy was performed and the lumen was scattered with papillae. An intraoperative frozen section examination illustrated a simple hepatic cyst. Biochemical analysis of the collection and histopathology of the gallbladder and capsule substantiated the diagnosis of biloma formation due to GBP. The purpose of the present case report was to demonstrate how a pinhole-sized perforation with extravasation of unconcentrated bile from the gallbladder may result in insidious clinical presentation and an undetected leak site. According to the clinicopathological characteristics and composition, formation of biloma should be classified as type IV GBP. To differentiate bilomas with intracystic septations and mural nodules from BCTs is difficult via a preoperative examination, and the definitive diagnosis should be based on a histological examination. Laparotomy with frozen section examination may be the optimal approach in such a case.

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Section: Discussionmentioning

confidence: 99%

A giant and insidious subphrenic biloma formation due to gallbladder perforation mimicking biliary cystic tumor: A case report

Zhu

Wang

Jiao

et al. 2016

Molecular and Clinical Oncology

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“…Percutaneous and endoscopic interventions are appropriate therapeutic approaches, and these methods are preferred over surgery as the first step in treatment [3,12,13]. Surgery should remain the last option because it is associated with numerous complications [14].…”

Section: Discussionmentioning

confidence: 99%

An Unexpected Complication in a Pediatric Patient With Sclerosing Cholangitis: A Huge Spontaneous Biloma

Yücel¹,

Albayrak²,

Gümüş³

et al. 2016

Int J Pediatr Neonat Care

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“…Healing of the bile duct leak can take a variable amount of time depending on the size of the leak, varying from a few days to several weeks. [36][37][38] Leaks that do not resolve may require endoscopic or percutaneous bile duct stenting to divert bile flow and provide the opportunity for leakage healing. 35,39,40 In rare instances, the bile leak persists and surgical repair may be necessary.…”

Section: Discussionmentioning

confidence: 99%

Chemoembolization with Drug-Eluting Beads Complicated by Intrahepatic Biloma

Naumann¹,

Gupta²

2011

Semin intervent Radiol

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Chemoembolization with drug-eluting beads is a type of locoregional therapy currently being used for the treatment of hepatocellular carcinoma and metastatic disease to the liver. This treatment has proven effectiveness in controlling tumor growth, extending survival time, and improving quality of life. Chemoembolization with drug-eluting beads have been shown to be safe, but like any other invasive procedure, can have associated complications. The authors present a case of intrahepatic biloma formation occurring as a result of treatment with drug-eluting beads.

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Bilomas: A new approach to the diagnosis and treatment

Cited by 41 publications

References 8 publications

A giant and insidious subphrenic biloma formation due to gallbladder perforation mimicking biliary cystic tumor: A case report

A giant and insidious subphrenic biloma formation due to gallbladder perforation mimicking biliary cystic tumor: A case report

An Unexpected Complication in a Pediatric Patient With Sclerosing Cholangitis: A Huge Spontaneous Biloma

Chemoembolization with Drug-Eluting Beads Complicated by Intrahepatic Biloma

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