Spontaneous retroperitoneal biloma: A case report

Blake-Siemsen, Jorge Cuahutemoc; Kortright-Farías, Marisol

doi:10.1016/j.circen.2018.01.005

Cited by 4 publications

(14 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…Several propositions have been made for the pathogenesis of this entity [ 3 , 9 , 10 , 14 ]. The most widespread is the increased intraductal pressure due to obstruction caused by gallstones, tumor, or reflux spasm of the sphincter of Oddi [ 3 , 9 , 10 , 14 ]. Other possible explanations include intramural infection of the common bile duct as a result of cholangitis, thrombosis of a mural vessel leading to necrosis of the affected part, diverticulitis of the common bile duct, acute pancreatitis, parasitic infections, and regurgitation of pancreatic secretions into the common bile duct [ 3 , 9 , 10 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…If the site of perforation leads to the retroperitoneal space, a retroperitoneal bile collection will develop. A retroperito-neal biloma occurs as a result of bile tracking along the embryological fascial planes, with only 13 cases being reported [ 3 , 7 , 8 , 10 , 15 – 20 , 23 – 25 ]. To date, only 7 cases of a retroperitoneal biloma following spontaneous perforation of the common bile duct have been described in the literature [ 8 , 10 , 15 – 18 , 25 ] ( Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

“…Satake, in 1985, was the first to describe a retroperitoneal collection of bile secondary to spontaneous perforation of the common bile duct [ 8 ]. To date, 7 cases have been published in the literature, reporting retroperitoneal biloma due to spontaneous perforation of the common bile duct [ 8 , 10 , 15 – 18 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Rare Case of Extended Retroperitoneal Biloma Due to Spontaneous Perforation of Common Bile Duct, Mimicking a Strangulated Right Inguinal Hernia: A Case Report and Literature Review

et al. 2022

View full text Add to dashboard Cite

Patient: Male, 89-year-old Final Diagnosis: Bile duct injury • retroperitoneal biloma Symptoms: Diffuse abdominal pain • fatigue • nausea • vomiting Medication: — Clinical Procedure: — Specialty: Surgery Objective: Rare disease Background: Biloma is the collection of bile outside the biliary tree as a result of visceral perforation. The most common site of disruption is the gallbladder, whereas common bile duct lesions usually occur following medical procedures or trauma. Spontaneous perforation of the common bile duct has been previously reported in the literature. Retroperitoneal biloma secondary to spontaneous perforation of the common bile duct is an extremely rare pathological entity. The purpose of this report is to inform clinical doctors of this rare entity, which can have fatal consequences for the patient. Case Report: We present the case of an 89-year-old man who was hospitalized with symptoms of vomiting, nausea, fatigue, and diffuse abdominal pain. The clinical examination and blood tests revealed peritonitis, a finding which was confirmed by the computed tomography of the abdomen as a retroperitoneal fluid collection, extending from the region posterior to the duodenum and head of the pancreas to the right inguinal fossa. As the patient’s clinical status deteriorated, an urgent laparotomy was performed, revealing the presence of retroperitoneal biloma secondary to spontaneous perforation of the common bile duct. The operation was never completed as the patient died during the operation. Conclusions: The diagnosis of this entity is difficult and is made during surgery. A large spectrum of treatment approaches has been used, but, regardless of the method, the goal is to halt the spreading abdominal contamination with bile and to treat the associated biliary pathology.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Rare Case of Extended Retroperitoneal Biloma Due to Spontaneous Perforation of Common Bile Duct, Mimicking a Strangulated Right Inguinal Hernia: A Case Report and Literature Review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Rare cases have been reported of spontaneous bile duct rupture leading to either biliary peritonitis or retroperitoneal biloma. [1][2][3][4][5] In this case, we describe both biliary peritonitis and retroperitoneal biloma secondary to disruption of the pancreatic duct in the setting of acute pancreatitis. To our knowledge, this has not been described previously.…”

mentioning

confidence: 99%

Spontaneous biliary peritonitis and retroperitoneal biloma: an unusual presentation of a common disease

Ormston

Martin

Croagh

2018

ANZ Journal of Surgery

View full text Add to dashboard Cite

Retroperitoneal biloma—A rare differential diagnosis of perirenal fluid accumulation

Hanawa,

Fukasawa,

Aoki

et al. 2024

IJU Case Reports

View full text Add to dashboard Cite

IntroductionNontraumatic biliary rupture and retroperitoneal biloma infrequently occur. Here, we report a case of retroperitoneal biloma due to spontaneous left hepatic duct perforation, which was difficult to differentiate from a perirenal abscess.Case presentationA 94‐year‐old female patient was hospitalized with symptoms of fatigue and right back pain that lasted for 5 days. Computed tomography revealed fluid accumulation in the retroperitoneum, and urinary extravasation and right perinephric abscess were suspected. Antimicrobial treatment and drainage with ureteral stents and urethral catheters demonstrated no symptom improvement. Ultrasound‐guided puncture of the abscess revealed the presence of bile. Pigtail catheter drainage improved symptoms and inflammatory response. After diagnosis, endoscopic retrograde cholangiopancreatography revealed bile leakage, and a bile duct stent was inserted.ConclusionBiloma can cause perirenal fluid accumulation, and they should be considered an origin of perirenal fluid accumulation when urinary tract lesions are excluded.

show abstract

Spontaneous retroperitoneal biloma: A case report

Cited by 4 publications

References 9 publications

A Rare Case of Extended Retroperitoneal Biloma Due to Spontaneous Perforation of Common Bile Duct, Mimicking a Strangulated Right Inguinal Hernia: A Case Report and Literature Review

A Rare Case of Extended Retroperitoneal Biloma Due to Spontaneous Perforation of Common Bile Duct, Mimicking a Strangulated Right Inguinal Hernia: A Case Report and Literature Review

Spontaneous biliary peritonitis and retroperitoneal biloma: an unusual presentation of a common disease

Retroperitoneal biloma—A rare differential diagnosis of perirenal fluid accumulation

Contact Info

Product

Resources

About