A Case of Spontaneous Biloma with Cholecysto-choledocholithiasis

Yoshifumi Sakata, Teruo Okamura, Hirofumi Kurimoto, Kiochi Ono, Mikihiro Uenishi

Department of Surgery, Izumiotsu City Hospital

We experienced a case of spontaneous biloma. A 73-year-old man with abdominal pain suffered from cholecysto-choledocholithiasis. CT scan demonstrated a cystic mass at the left upper abdomen. Abdominocentesis under ultrasound guidance obtained bile juice resembling exudation. We diagnosed biloma, resected the fibrous scar at the left lobe of the liver, and performed cholecystectomy and choledocholithotomy. Biloma mainly occurs traumatically or iatrogenically. Spontaneous biloma is very rare, and only 17 cases have been reported.

Key words
spontaneous biloma, bile leakage, choledocholithiasis

Reprint requests
Yoshifumi Sakata Department of Surgery, Izumiotsu City Hospital
16-1 Gejyocho, Izumiotsu City, Osaka, 595 JAPAN

Accepted
February 8, 1995

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