tailieunhanh - báo cáo khoa học: " Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report | Bas et al. Journal of Medical Case Reports 2011 5 3 http content 5 1 3 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage a case report 1 1 1 2 1 Gurhan Bas Ismail Okan Mustafa Sahin Ramazan Eryilmaz Arda Isik Abstract Introduction Spontaneous biloma formation is a very rare condition which mandates immediate treatment. Case presentation An 80-year-old Caucasian man was referred to our department with a diagnosis of intraabdominal collection located in his right upper quadrant. Further radiological examination demonstrated multiple calculi in his gallbladder and common bile duct. Our patient underwent endoscopic retrograde cholangiopancreatography and the stones in the common bile duct were extracted. Percutaneous drainage of the abdominal collection revealed a spontaneous biloma formation. Continuous drainage of bile persisted for one week so endoscopic retrograde cholangiopancreatography was repeated and a 10Fr stent was placed subsequently the biliary leak ceased and our patient was discharged. A control abdominal computed tomography did not show any residual fluid collection. Conclusion Spontaneous biloma formation is a very rare incidence awareness is necessary for prompt recognition and treatment. Introduction A biloma is defined as an encapsulated collection of bile outside the biliary tree 1 . It is mainly caused by iatrogenic injury surgery percutaneous trans-hepatic interventions or abdominal trauma 1 2 . Spontaneous rupture of the biliary tree is a very rare condition 3 . We report here the case of a patient with spontaneous biloma formation developed secondary to cholecysto-choledocholithiasis and managed with percutaneous drainage and endoscopic biliary decompression. Case report An 80-year-old Caucasian man was referred to our department with the diagnosis of right upper abdominal encapsulated fluid collection. Two

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