A case of infected biloma due to spontaneous intrahepatic biliary rupture

Area of Science:

• Hepatology
• Gastroenterology
• Medical Imaging

Background:

• Biloma, a bile collection outside the biliary tree, typically results from trauma or iatrogenic causes.
• Spontaneous bile leakage leading to biloma formation is infrequently reported in medical literature.
• Infected biloma without an apparent underlying cause represents a particularly rare clinical scenario.

Observation:

• A case of spontaneous infected biloma was diagnosed using abdominal computed tomography and ultrasound-guided percutaneous aspiration.
• The patient presented with a rare instance of spontaneous rupture of an intrahepatic bile duct.
• No predisposing conditions or trauma were identified in the patient's history.

Findings:

• Successful diagnosis and management of a spontaneous infected biloma.
• Percutaneous drainage and intravenous antibiotics proved effective in treating the condition.
• The case involved spontaneous rupture of an intrahepatic duct, a highly unusual etiology for biloma.

Implications:

• This case expands the understanding of potential causes for biloma formation.
• Highlights the diagnostic utility of advanced imaging and minimally invasive procedures.
• Suggests that spontaneous intrahepatic bile duct rupture should be considered in unexplained biloma cases, even without apparent underlying disease.