J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1037KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 94(4): 412-415, 1993

Case report

A CASE OF SPONTANEOUS BILOMA ACCOMPANIED WITH INCARCERATED CHOLEDOCHOLITHIASIS

1) First Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan
2) Department of Surgery, Okinawa Prefectural Nambu Hospital, Itoman, Japan

Nobuhisa Nakajima1), Takeyasu Taira2), Minoru Omine2), Takao Kinjo2), Tetsuo Uehara2), Sanesuke Makiya2), Junichi Uchino1)

A 55-year-old man was admitted with abdominal pain and nausea. CT-scan and US showed no abnormal findings. On the 5th hospital day, a large mass was palpable on the upper abdomen, and CT-scan (7th hospital day) demonstrated a large, cystic mass below the left lobe. A thoracentesis under ultrasound guidance obtained bile-stained fluid. PTCD revealed choledocholithiasis and severe dilatation of the common bile duct and the left branch.
After conservative treatment, cholecystectomy and choledocholithotomy were peformed.
Biloma occurred mainly traumatically or iatrogenically. This case had a spontaneous biloma, and only 11 cases have been previously reported as spontaneous biloma in Japan.

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