Profile
International Journal of Pediatrics & Neonatal Care Volume 2 (2016), Article ID 1:IJPNC-116, 4 pages
https://doi.org/10.15344/2455-2364/2016/116
Case Study
An Unexpected Complication in a Pediatric Patient With Sclerosing Cholangitis: A Huge Spontaneous Biloma

Aylin Yucel1*, Hatice Mutlu Albayrak2, Meltem Gumus3, Mehmet Asil4, Orhan Ozbek5 and Hasan Ali Yuksekkaya1

1Department of PediatricGastroenterology, HepatologyandNutrition, Meram MedicalFaculty, Necmettin Erbakan University, Konya, Turkey
2Department of Pediatric Genetics, Ondokuz Mayıs UniversityMedicalFaculty, Samsun, Turkey
3Department of PediatricGastroenterology, HepatologyandNutrition, Konya Training andResearchHospital, Konya, Turkey
4Department of GastroenterologyandHepatology, Meram MedicalFaculty, Necmettin Erbakan University, Konya, Turkey
5Department of Radiology, Meram MedicalFaculty, Necmettin Erbakan University, Konya, Turkey
Dr. Aylin Yücel, Necmettin Erbakan University, Meram Medical Faculty, Department of Pediatrics, Division of Pediatric Gastroenterology Hepatology and Nutrition, 42080 Meram, Konya, Turkey, Tel: +90 332 223 7415; E-mail: ayucel82@hotmail.com
15 February 2016; 16 May 2016; 18 May 2016
Yucel A, Albayrak HM, Gumus M, Asil M, Ozbek O,A, et al. (2016) An Unexpected Complication in a Pediatric Patient With Sclerosing Cholangitis: A Huge Spontaneous Biloma. Int J Pediatr Neonat Care 2: 116. doi: 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.