Subcapsular liver biloma due to gallbladder perforation after acute cholecystitis

Kalfadis, Stavros; Ioannidis, Orestis; Botsios, Dimitrios; Lazaridis, Charalabos N

doi:10.1111/j.1751-2980.2011.00523.x

Cited by 9 publications

(10 citation statements)

References 12 publications

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“…There are few reports on biloma formation due to GBP, but all cases have featured radiological discontinuity of the gallbladder wall (13,15,16). Tiny extravasation of unconcentrated bile from the gallbladder and relatively large subphrenic space should have been responsible for the insidious symptoms, normal laboratory tests and undetected perforation site in our patient, and preoperative diagnosis represented a challenge.…”

Section: Discussionmentioning

confidence: 93%

“…Iatrogenic biliary injury, particularly cholecystectomy, is the predominant causative factor, followed by blunt abdominal injury (12,13). In certain cases, spontaneous biloma formation may occur, and this is usually associated with bile duct disruption, but rarely with GBP (13)(14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

“…In conclusion, GBP is subdivided into three categories, whereas the formation of biloma is rare, and should be classified as type IV (13). A pinhole-sized perforation with extravasation of unconcentrated bile from the gallbladder may result in insidious clinical presentation and an undetected leak site.…”

Section: Discussionmentioning

confidence: 99%

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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: 93%

Section: Discussionmentioning

confidence: 99%

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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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“…In the present case, CT revealed a well-circumscribed right subdiaphragmatic collection. We diagnosed her with subscapular biloma of the liver preoperatively because it sometimes occurs with acute cholecystitis [ [11] , [12] , [13] ] and there was no report of abdominal wall biloma after PTGBA.…”

Section: Discussionmentioning

confidence: 99%

Cholecystitis with abdominal wall biloma after percutaneous transhepatic gallbladder aspiration: A case report

Toritani

Sugita

Shimizu

et al. 2020

International Journal of Surgery Case Reports

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“…The clinical presentation of a biloma is variable, ranging from an incidental finding on imaging in an otherwise asymptomatic patient, to abdominal fullness, pain, fever, and jaundice, to very rarely, peritonitis without fever [3]. Abdominal imaging, such as abdominal ultrasound (US), CT scan, magnetic resonance cholangiopancreatography (MRCP), and cholescintigraphy using 99mTc hepatobiliary iminodiacetic acid (HIDA) scan, plays a crucial role in the identification of a biloma and in ruling out other possible etiologies [4]. The sensitivity of abdominal US is low (70%), though it is initial imaging in the evaluation of biloma [5].…”

Section: Introductionmentioning

confidence: 99%

Biloma: A Rare Manifestation of Spontaneous Bile Leak

Yousaf

D'Souza

Chaudhary

et al. 2020

Cureus

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A biloma is an intrahepatic or extrahepatic encapsulated collection of bile outside of the biliary tree and within the abdominal cavity. Hepatobiliary interventions and laparoscopic cholecystectomy are the most common etiologies of biloma followed by abdominal trauma, choledocholithiasis, and biliary dilation secondary to biliary stricture. We report a case of a 91year-old female who presented to the emergency room with an acute onset of epigastric and right upper quadrant sharp pain for one day that radiated to the back, and was associated with two to three episodes of vomiting. Initial abdominal imaging including CT scan, ultrasound and magnetic resonance cholangiopancreatography (MRCP) of the abdomen and pelvis revealed a distended gallbladder with wall thickening, but without evidence of pancreatitis or gallstones. Hepatobiliary iminodiacetic acid (HIDA) scan findings were consistent with extrahepatic biliary leakage into the peritoneum. A cholangiogram demonstrated a perihepatic biloma. A combined approach using fluoroscopic-guided biloma drainage and endoscopic retrograde cholangiopancreatography (ERCP)-guided biliary stent placement across the site of the biliary leak resulted in the complete resolution of symptoms. Biloma should be included in the differential diagnosis of right upper quadrant abdominal pain. A high index of clinical suspicion is required for early diagnosis and treatment.

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Subcapsular liver biloma due to gallbladder perforation after acute cholecystitis

Cited by 9 publications

References 12 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

Cholecystitis with abdominal wall biloma after percutaneous transhepatic gallbladder aspiration: A case report

Biloma: A Rare Manifestation of Spontaneous Bile Leak

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