Citation Information :
Rana SS, Gupta R, Verma S, Sharma R. Impending Rupture of Lesser Sac Biloma into the Stomach. J Postgrad Med Edu Res 2022; 56 (2):91-93.
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.
Sharda S, Sharma A, Khullar R, et al. Post-laparoscopic cholecystectomy biloma in the lesser sac: a rare clinical presentation. J Minim Access Surg 2015;11(2):154–156. DOI: 10.4103/0972-9941.140215
Sisler WJ. Massive biloma in lesser sac of peritoneal cavity after cholecystectomy. AJR Am J Roentgenol 1993;160(4):899–900. DOI: 10.2214/ajr.160.4.8456696
Baron TH. Combined endoscopic transgastric and transpapillary drainage of an infected biloma. Endoscopy 2006;38(4):436. DOI: 10.1055/s-2006-925174
Thurley PD, Dhingsa R. Laparoscopic cholecystectomy: postoperative imaging. Am J Roentgenol 2008;191(3):794–801. DOI: 10.2214/AJR.07.3485
Kaffes AJ, Hourigan L, De Luca N, et al. Impact of endoscopic intervention in 100 patients with suspected postcholecystectomy bile leak. Gastrointest Endosc 2005;61(2):269–275. DOI: 10.1016/S0016-5107(04)02468-X
Lee CM, Stewart L, Way LW. Postcholecystectomy abdominal bile collections. Arch Surg 2000;135(5):538–544. DOI: 10.1001/archsurg.135.5.538
Copelan A, Bahoura L, Tardy F, et al. Etiology, diagnosis, and management of bilomas: a current update. Tech Vasc Interv Radiol 2015;18(4):236–243. DOI: 10.1053/j.tvir.2015.07.007
Mueller P, Ferrucci J, Simeone J, et al. Detection and drainage of bilomas: special considerations. Am J Roentgenol 1983;140(4):715–720. DOI: 10.2214/ajr.140.4.715
Melamud K, LeBedis CA, Anderson SW, et al. Biliary imaging: multimodality approach to imaging of biliary injuries and their complications. Radiographics 2014;34(3):613–623. DOI: 10.1148/rg.343130011
Ponnudurai R, George A, Sachithanandan S, et al. Endoscopic ultrasound-guided drainage of a biloma: a novel approach. Endoscopy 2006;38(2):199. DOI: 10.1055/s-2006-
Shami VM, Talreja JP, Mahajan A, et al. EUS-guided drainage of bilomas: a new alternative? Gastrointest Endosc 2008;67(1):136–140. DOI: 10.1016/j.gie.2007.07.040