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Rare Reported Left Hepatic Subcapsular Biloma and Management.
Sarah Brown1, Pablo Giuseppucci1, Christopher Esper1
1Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Case Reports in Surgery
|August 12, 2017
Summary
Subcapsular bilomas, a rare laparoscopic cholecystectomy complication, can occur spontaneously. Percutaneous drainage alone is an effective treatment for these rare bilomas.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Minimally Invasive Surgery
Background:
- Subcapsular bilomas are infrequent complications after laparoscopic cholecystectomy.
- Spontaneous occurrence of subcapsular bilomas is exceptionally rare.
Observation:
- A case of a left-sided subcapsular biloma developed post-laparoscopic cholecystectomy.
- The biloma's location was distant from the surgical dissection site.
- The surgery involved no difficult dissection or biliary tree pressurization.
Findings:
- Percutaneous drainage alone, without endoscopic retrograde cholangiopancreatography (ERCP), proved adequate for managing the subcapsular biloma.
- This suggests a less invasive approach may be sufficient.
Implications:
- Percutaneous drainage can be a viable standalone treatment for subcapsular bilomas.
- This finding may alter clinical management protocols for post-cholecystectomy bilomas.
- Highlights the importance of considering non-dissection-related etiologies for biloma formation.

