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Spontaneous Biloma With a Hepatic Mass
Venu M Ganipisetti1, Pratyusha Bollimunta1, Natasha Dudiki2
1Hospital Medicine, Presbyterian Hospital, Albuquerque, USA.
Cureus
|July 13, 2023
Summary
A rare case of spontaneous biloma, a fluid collection, was linked to pancreaticobiliary tract cancer in an 86-year-old male. This finding expands understanding of malignancy-associated bilomas and their management.
Area of Science:
- Gastroenterology
- Oncology
- Radiology
Background:
- Spontaneous biloma is a rare condition, infrequently associated with malignancy.
- Pancreaticobiliary tract cancers can present with diverse clinical manifestations.
Observation:
- An 86-year-old male presented with generalized itching and jaundice.
- Computed tomography (CT) revealed a hepatic mass and an extensive spontaneous biloma.
Findings:
- Biopsy confirmed moderately differentiated adenocarcinoma of the pancreaticobiliary tract.
- The patient's biloma was successfully drained percutaneously.
Implications:
- This case highlights a rare presentation of malignancy-associated spontaneous biloma.
- Enhances understanding of the diagnosis and management of such rare conditions.
- Broadens clinical awareness of biloma as a potential sign of pancreaticobiliary malignancy.
