Abstract

CORTES, José S.; POLANIA-GALINDO, Santiago Adolfo  and  POLANIA-LISCANO, Héctor Adolfo. Spontaneous Biloma: A Case Report and Literature Review. Rev. colomb. Gastroenterol. [online]. 2023, vol.38, n.1, pp.106-110.  Epub June 08, 2023. ISSN 0120-9957.  https://doi.org/10.22516/25007440.904.

Bilomas are collections of bile outside the biliary tree. The most frequent etiologies are iatrogenic and trauma. Cases of spontaneous or atraumatic bilomas are rare. Management of bilomas depends on the size and location and may include monitoring only; if the size is < 4 cm, there may be percutaneous or endoscopic intervention. The use of antibiotics depends on the clinical status of the patient. We describe the case of a man who presented with a spontaneous biloma eight years after laparoscopic cholecystectomy and, in addition to signs of choledocholithiasis, a stricture of the common bile duct. In patients with symptoms of biliary pathology, the diagnosis of biloma should be considered even without a history of trauma or recent surgery to initiate appropriate treatment early. Many cases are asymptomatic and resolve spontaneously but occasionally require percutaneous or endoscopic management.

Keywords : Bile ducts; cholecystectomy; biloma; endoscopic retrograde cholangiopancreatography; stents.

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