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Bilioma after laparoscopic cholecystectomy: a case report
J E Tzeng1, T P Shih, C J Huang
1Department of Pathology, Taichung Veterans General Hospital, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|April 9, 1998
Summary
A rare periumbilical bilioma, a bile fluid collection, was diagnosed and surgically removed in a patient one year after gallbladder surgery. This case highlights the importance of physician awareness for diagnosing this unusual intraabdominal complication.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Laparoscopic cholecystectomy is a common procedure for gallstones.
- Biliomas are rare complications resulting from biliary tree injury and bile leakage.
- Periumbilical presentation of a bilioma is exceptionally uncommon.
Observation:
- A 68-year-old female developed a 4x2.5x2 cm periumbilical mass one year post-cholecystectomy.
- Initial diagnosis considered intraabdominal tumor.
- Pathological examination confirmed a bilioma.
Findings:
- This case represents the first reported instance of a bilioma in the periumbilical abdominal wall.
- Diagnostic modalities included sonography, CT, and cholescintigraphy, alongside clinical suspicion.
- Surgical excision was performed due to the abdominal wall location.
Implications:
- Physician alertness is crucial for diagnosing rare biliomas, especially in atypical locations.
- While percutaneous drainage is typical, surgical excision may be indicated for abdominal wall biliomas.
- This case expands the known clinical spectrum and management considerations for biliomas.