Biloma: An unusual complication in a patient with pancreatic cancer  

作　　者：Palak Jitendrakumar Trivedi Prakash Gupta Jane Phillips-Hughes Anthony Ellis 

机构地区：[1]Department of Gastroenterology, Horton General Hospital (Oxford Radcliffe Hospitals trust) [2]Department of Radiology, John Radcliffe Hospital (Oxford Radcliffe Hospitals trust)

出　　处：《World Journal of Gastroenterology》2009年第41期5218-5220,共3页世界胃肠病学杂志（英文版）

摘　　要：The term biloma describes an encapsulated collection of bile within the abdomen, usually secondary to bile duct disruption. The commonest causes reported in the literature are iatrogenic （secondary to hepatobUiary surgery）, trauma or complications due to choledocho- lithiasis. A few cases have been reported as complica- tions of cholangiocarcinoma or acute cholecystitis. We report the case of a 64-year-old man initially diagnosed with a non-obstructive malignancy of the pancreas, who developed a spontaneous intrahepatic biloma 8 mo later. This was identified following a 1-wk history of fever, rigors and icterus. The biloma was identified on computed tomography and subsequently drained under ultrasound guidance. Forty-eight hours later, a stent was inserted endoscopically into his common bile duct and he made an uneventful in-hospital recovery. We believe this is the first documented case of spontaneous intrahepatic biloma to occur secondary to pancreatic malignancy.The term biloma describes an encapsulated collection of bile within the abdomen, usually secondary to bile duct disruption. The commonest causes reported in the literature are iatrogenic (secondary to hepatobiliary surgery), trauma or complications due to choledocholithiasis. A few cases have been reported as complications of cholangiocarcinoma or acute cholecystitis. We report the case of a 64-year-old man initially diagnosed with a non-obstructive malignancy of the pancreas, who developed a spontaneous intrahepatic biloma 8 mo later. This was identifi ed following a 1-wk history of fever, rigors and icterus. The biloma was identifi ed on computed tomography and subsequently drained under ultrasound guidance. Forty-eight hours later, a stent was inserted endoscopically into his common bile duct and he made an uneventful in-hospital recovery. We believe this is the fi rst documented case of spontaneous intrahepatic biloma to occur secondary to pancreatic malignancy.

关 键 词：Obstructive jaundice Endoscopic retrograde cholangiopancreatography Computed tomography CHOLEDOCHOLITHIASIS Bile duct diseases 

分 类 号：R735.9[医药卫生—肿瘤]