Journal of Postgraduate Medicine, Education and Research

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VOLUME 56 , ISSUE 2 ( April-June, 2022 ) > List of Articles


Impending Rupture of Lesser Sac Biloma into the Stomach

Surinder S Rana, Rajesh Gupta, Suhang Verma, Ravi Sharma

Keywords : Biloma, Cholecystectomy, Endoscopy, Endosonography, Stents

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.

DOI: 10.5005/jp-journals-10028-1431

License: CC BY-NC 4.0

Published Online: 07-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


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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