https://doi.org/10.15344/2455-2364/2016/116
Abstract
Introduction: Biloma is encapsulated collection of bile due to iatrogenic injury or abdominal trauma. The perforation of the extra-intrahepatic bile duct without any traumatic or iatrogenic injury is defined as spontaneous biloma. The spontaneous biloma is very rare and infrequently reachesto huge sizes. Previously described causes of spontaneous biloma include choledocholithiasis, acute cholecystitis, cholangiocarcinoma, pancreatic malignancy and hepatic abscesses or infarctions.
Case Presentation: We describe the case of a huge spontaneous biloma in a 16-year-old girl patient with sclerosing cholangitis. She applied to our hospital for generalised abdominal distention and pain. There was no cholestasis at her admission, but, interestingly cholestasis developed on the tenth day of hospitalization.She was treated with percutaneous drainage, endoscopic sphincterotomy and stent placement into the common bile duct. After discharge, there was no recurrence at the three-month follow-up.
Conclusions: To our knowledge, this is the first report in the literature of spontaneous biloma associated with sclerosing cholangitis.