Late Presentation of Chronic-Organised Biloma Masquerading as Gallbladder Fossa Mass Years After Cholecystectomy: a Diagnostic Enigma
Authors
Authors and affiliations
Rigved Gupta1
Email author
View author's OrcID profile
Manoj Andley1
Rahul Pusuluri1
Ajay Kumar1
1.Department of SurgeryLady Hardinge Medical College & Smt. Sucheta Kriplani HospitalNew DelhiIndia
Case Report
First Online: 11 December 2018
5
Downloads
Introduction
Post-cholecystectomy bile leaks have varied presentations. It may be detected intra-operatively or post-operatively with bile draining from abdominal drains/wounds. Some patients have delayed presentation, weeks to months after cholecystectomy, with intra-abdominal bile collection known as “Biloma”. Bilomas presenting years after surgery are extremely rare, with only four cases reported in literature [1, 2, 3, 4]. We present a case of chronic-organised biloma mimicking gallbladder fossa mass years after cholecystectomy. This appears to be the third such case in Indian literature and the fifth worldwide.
Case Presentation
A 40-year-old female presented with pain in the right upper abdomen since 3 months without any fever, jaundice or weight loss. She had undergone open cholecystectomy 20 years back for cholelithiasis. As per the patient, post-operative course was uneventful, although no records (including histopathology) were available. Examination revealed 5 × 5 cm lump in...
Keywords
Bile duct injury Bile leak Cholecystectomy Chronic biloma Gallbladder neoplasms
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Notes
Compliance with Ethical Standards
Conflict of Interests
The authors declare that they have no conflict of interest.
Informed Consent
The authors confirm that an informed consent was obtained from the patient to be the subject of this case report. None of the images used disclose the identity of the subject in any form and patient anonymity has been maintained at all places in the text.
Ethical Statement
An ethical approval was not necessary as this was a retrospective review of a clinical case and not experimental research data.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
1.
Stojanovic M, Radojkovic M, Jeremic L (2008) Double giant chronic bilomas with late presentation: 9 years after cholecystectomy. Langenbeck’s Arch Surg 393(4):617–618
CrossRefGoogle Scholar
2.
Kannan U, Parshad R, Regmi SK (2009) An unusual presentation of biloma five years following cholecystectomy: a case report. Cases Journal 2:8048
Google Scholar
3.
V. Anand, R. Samson, K. Muthukumaran, R. Balamurali, T. Rajkumar Solomon, P. Ganesh. A late presentation of Biloma. Journal of Current Trends in Clinical Medicine & Laboratory Biochemistry 2015;3(1):30–32
Google Scholar
4.
Ji G, Zhu F, Wang K, Jiao C, Shao Z, Li X (2017) A giant and insidious subphrenic biloma formation due to gallbladder perforation mimicking biliary cystic tumor: a case report. Mol Clin Oncol 6(1):71–74
CrossRefGoogle Scholar
5.
Fasoulas K, Zavos C, Chatzimavroudis G, Trakateli C, Vasiliadis T, Ioannidis A et al (2011) Eleven-year experience on the endoscopic treatment of post-cholecystectomy bile leaks. Ann Gastroenterol 24(3):200–205
Google Scholar
6.
Lee CM, Stewart L, Way LW (2000) Postcholecystectomy abdominal bile collections. Arch Surg 135(5):538–542
CrossRefGoogle Scholar
7.
Ramamurthy NK, Rudralingam V, Martin DF, Galloway SW, Sukumar SA (2013) Out of sight but kept in mind: complications and imitations of dropped gallstones. AJR Am J Roentgenol 200(6):1244–1253
CrossRefGoogle Scholar
8.
McKnight T, Patel A (2012) Gallbladder masses: multimodality approach to differential diagnosis. J Am Osteopath Coll Radiol 1(4):22–31
Google Scholar
9.
Ahmad F, Saunders R, Lloyd G, Lloyd D, Robertson G (2007) An algorithm for the Management of Bile Leak Following Laparoscopic Cholecystectomy. Ann R Coll Surg Engl 89(1):51–56
CrossRefGoogle Scholar
Copyright information
© Indian Association of Surgical Oncology 2018
About this article
CrossMark
Cite this article as:
Gupta, R., Andley, M., Pusuluri, R. et al. Indian J Surg Oncol (2019) 10: 318. https://doi.org/10.1007/s13193-018-0854-3
Received
28 December 2017
Accepted
04 December 2018
First Online
11 December 2018
DOI
https://doi.org/10.1007/s13193-018-0854-3
Publisher Name
Springer India
Print ISSN
0975-7651
Online ISSN
0976-6952
About this journal
Reprints and Permissions
Authors
Authors and affiliations
Rigved Gupta1
Email author
View author's OrcID profile
Manoj Andley1
Rahul Pusuluri1
Ajay Kumar1
1.Department of SurgeryLady Hardinge Medical College & Smt. Sucheta Kriplani HospitalNew DelhiIndia
Case Report
First Online: 11 December 2018
5
Downloads
Introduction
Post-cholecystectomy bile leaks have varied presentations. It may be detected intra-operatively or post-operatively with bile draining from abdominal drains/wounds. Some patients have delayed presentation, weeks to months after cholecystectomy, with intra-abdominal bile collection known as “Biloma”. Bilomas presenting years after surgery are extremely rare, with only four cases reported in literature [1, 2, 3, 4]. We present a case of chronic-organised biloma mimicking gallbladder fossa mass years after cholecystectomy. This appears to be the third such case in Indian literature and the fifth worldwide.
Case Presentation
A 40-year-old female presented with pain in the right upper abdomen since 3 months without any fever, jaundice or weight loss. She had undergone open cholecystectomy 20 years back for cholelithiasis. As per the patient, post-operative course was uneventful, although no records (including histopathology) were available. Examination revealed 5 × 5 cm lump in...
Keywords
Bile duct injury Bile leak Cholecystectomy Chronic biloma Gallbladder neoplasms
This is a preview of subscription content, log in to check access.
Notes
Compliance with Ethical Standards
Conflict of Interests
The authors declare that they have no conflict of interest.
Informed Consent
The authors confirm that an informed consent was obtained from the patient to be the subject of this case report. None of the images used disclose the identity of the subject in any form and patient anonymity has been maintained at all places in the text.
Ethical Statement
An ethical approval was not necessary as this was a retrospective review of a clinical case and not experimental research data.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
1.
Stojanovic M, Radojkovic M, Jeremic L (2008) Double giant chronic bilomas with late presentation: 9 years after cholecystectomy. Langenbeck’s Arch Surg 393(4):617–618
CrossRefGoogle Scholar
2.
Kannan U, Parshad R, Regmi SK (2009) An unusual presentation of biloma five years following cholecystectomy: a case report. Cases Journal 2:8048
Google Scholar
3.
V. Anand, R. Samson, K. Muthukumaran, R. Balamurali, T. Rajkumar Solomon, P. Ganesh. A late presentation of Biloma. Journal of Current Trends in Clinical Medicine & Laboratory Biochemistry 2015;3(1):30–32
Google Scholar
4.
Ji G, Zhu F, Wang K, Jiao C, Shao Z, Li X (2017) A giant and insidious subphrenic biloma formation due to gallbladder perforation mimicking biliary cystic tumor: a case report. Mol Clin Oncol 6(1):71–74
CrossRefGoogle Scholar
5.
Fasoulas K, Zavos C, Chatzimavroudis G, Trakateli C, Vasiliadis T, Ioannidis A et al (2011) Eleven-year experience on the endoscopic treatment of post-cholecystectomy bile leaks. Ann Gastroenterol 24(3):200–205
Google Scholar
6.
Lee CM, Stewart L, Way LW (2000) Postcholecystectomy abdominal bile collections. Arch Surg 135(5):538–542
CrossRefGoogle Scholar
7.
Ramamurthy NK, Rudralingam V, Martin DF, Galloway SW, Sukumar SA (2013) Out of sight but kept in mind: complications and imitations of dropped gallstones. AJR Am J Roentgenol 200(6):1244–1253
CrossRefGoogle Scholar
8.
McKnight T, Patel A (2012) Gallbladder masses: multimodality approach to differential diagnosis. J Am Osteopath Coll Radiol 1(4):22–31
Google Scholar
9.
Ahmad F, Saunders R, Lloyd G, Lloyd D, Robertson G (2007) An algorithm for the Management of Bile Leak Following Laparoscopic Cholecystectomy. Ann R Coll Surg Engl 89(1):51–56
CrossRefGoogle Scholar
Copyright information
© Indian Association of Surgical Oncology 2018
About this article
CrossMark
Cite this article as:
Gupta, R., Andley, M., Pusuluri, R. et al. Indian J Surg Oncol (2019) 10: 318. https://doi.org/10.1007/s13193-018-0854-3
Received
28 December 2017
Accepted
04 December 2018
First Online
11 December 2018
DOI
https://doi.org/10.1007/s13193-018-0854-3
Publisher Name
Springer India
Print ISSN
0975-7651
Online ISSN
0976-6952
About this journal
Reprints and Permissions
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