Impending Rupture of Lesser Sac Biloma into the Stomach

JOURNAL TITLE: Journal of Postgraduate Medicine, Education and Research

Author
1. Rajesh Gupta
2. Surinder S Rana
3. Ravi Sharma
4. Suhang Verma
ISSN
2277-8969
DOI
10.5005/jp-journals-10028-1431
Volume
56
Issue
2
Publishing Year
2022
Pages
3
Author Affiliations
    1. White Plains Hospital, New York
    2. Post Graduate Institute of Medical Education and Research Chandigarh, India
    1. Department of Surgical Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
    1. Department of Psychiatry, Indira Gandhi Medical College and Hospital, Shimla, Himachal Pradesh, India
  • Article keywords
    Biloma, Cholecystectomy, Endoscopy, Endosonography, Stents

    Abstract

    Biliary injury with bile leak is a well-recognized complication following cholecystectomy. This results in an accumulation of bile within the peritoneal cavity and may manifest with biliary ascites and peritonitis or as a localized collection called biloma. Bilomas are usually intrahepatic or are located in a subhepatic or subphrenic location with the less sac being a rare location for biloma. We present a rare case of a large biloma located in the less sac compressing the stomach. The patient was successfully managed endoscopically by the placement of multiple transmural plastic stents after cannulating and dilating the transmural tract of its impending rupture into the stomach.

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