Trivedi PJ, Gupta P, Phillips-Hughes J, Ellis A. Biloma: An unusual complication in a patient with pancreatic cancer. World J Gastroenterol 2009; 15(41): 5218-5220 [PMID: 19891023 DOI: 10.3748/wjg.15.5218]
Corresponding Author of This Article
Dr. Palak Jitendrakumar Trivedi, Department of Gastroenterology, Horton General Hospital (Oxford Radcliffe Hospitals trust), Oxford Road, Banbury, Oxfordshire, OX16 9AL, United Kingdom. doctortrivedi@doctors.org.uk
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Nov 7, 2009; 15(41): 5218-5220 Published online Nov 7, 2009. doi: 10.3748/wjg.15.5218
Biloma: An unusual complication in a patient with pancreatic cancer
Palak Jitendrakumar Trivedi, Prakash Gupta, Jane Phillips-Hughes, Anthony Ellis
Palak Jitendrakumar Trivedi, Prakash Gupta, Anthony Ellis, Department of Gastroenterology, Horton General Hospital (Oxford Radcliffe Hospitals trust), Oxford Road, Banbury, Oxfordshire, OX16 9AL, United Kingdom
Jane Phillips-Hughes, Department of Radiology, John Radcliffe Hospital (Oxford Radcliffe Hospitals trust), Headley Way, Headington, Oxfordshire, OX3 9DU, United Kingdom
Author contributions: Trivedi PJ was the primary attending physician during patient’s the illness and responsible for creating the manuscript; Gupta P was the admitting physician and was responsible for revision of the article; Phillips-Hughes J performed diagnostic and therapeutic procedures during the inpatient stay; Ellis A participated in revision of the article.
Correspondence to: Dr. Palak Jitendrakumar Trivedi, Department of Gastroenterology, Horton General Hospital (Oxford Radcliffe Hospitals trust), Oxford Road, Banbury, Oxfordshire, OX16 9AL, United Kingdom. doctortrivedi@doctors.org.uk
Telephone: +44-1295-275500 Fax: +44-1295-229603
Received: July 30, 2009 Revised: September 4, 2009 Accepted: September 11, 2009 Published online: November 7, 2009
Abstract
The term biloma describes an encapsulated collection of bile within the abdomen, usually secondary to bile duct disruption. The commonest causes reported in the literature are iatrogenic (secondary to hepatobiliary surgery), trauma or complications due to choledocholithiasis. A few cases have been reported as complications of cholangiocarcinoma or acute cholecystitis. We report the case of a 64-year-old man initially diagnosed with a non-obstructive malignancy of the pancreas, who developed a spontaneous intrahepatic biloma 8 mo later. This was identified following a 1-wk history of fever, rigors and icterus. The biloma was identified on computed tomography and subsequently drained under ultrasound guidance. Forty-eight hours later, a stent was inserted endoscopically into his common bile duct and he made an uneventful in-hospital recovery. We believe this is the first documented case of spontaneous intrahepatic biloma to occur secondary to pancreatic malignancy.
