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[Digestive bleeding due to jejunal diverticula: A case report and literature review].

Cirugia y cirujanos·2017
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[Spontaneous retroperitoneal biloma: A case report].

Jorge Cuahutemoc Blake-Siemsen1, Marisol Kortright-Farías1

  • 1Servicio de Cirugía General y Aparato Digestivo, Hospital Ángeles, Ciudad Juárez, Chihuahua, México.

Cirugia Y Cirujanos
|November 14, 2016
PubMed
Summary

Non-traumatic spontaneous rupture of the biliary tract causing retroperitoneal biloma is rare. Diagnosis involves imaging, and treatment focuses on bile drainage and leak correction.

Keywords:
Bile duct diseasesBilomaColección de líquidoEnfermedades de los conductos biliaresFluid collectionRetroperitoneal

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Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Diagnostic Imaging

Background:

  • Non-traumatic spontaneous rupture of the biliary tract leading to retroperitoneal biloma is an exceptionally rare clinical entity.
  • This condition often presents with non-specific symptoms, making early diagnosis challenging.

Observation:

  • A 57-year-old woman presented with intense right abdominal pain and jaundice.
  • Initial imaging revealed choledocholithiasis and a retroperitoneal fluid collection misdiagnosed as a peri-renal abscess.
  • Ultrasound-guided puncture confirmed bile presence, and CT showed bile duct dilation.

Findings:

  • Retroperitoneal biloma, or choleretroperitoneum, is multifactorial in origin.
  • Clinical presentation includes diffuse abdominal distension and pain.
  • Diagnosis relies on ultrasonography and computed tomography, with potential intra-operative confirmation.

Implications:

  • Prompt diagnosis and intervention are crucial for managing this rare condition.
  • Treatment involves surgical correction of the bile leak and drainage of the retroperitoneal bile collection.
  • This case highlights the importance of considering biliary pathology in unexplained retroperitoneal fluid collections.