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Spontaneous Biloma Caused by Pancreatic Cancer and Treated by Endoscopic Biliary Stenting  

Park, Ji-Young (Department of Internal Medicine, Hallym University College of Medicine)
Lee, Jin (Department of Internal Medicine, Hallym University College of Medicine)
Lee, Soon-Jae (Department of Internal Medicine, Hallym University College of Medicine)
Kwon, Se-Ah (Department of Internal Medicine, Hallym University College of Medicine)
Koh, Dong-Hee (Department of Internal Medicine, Hallym University College of Medicine)
Choi, Min-Ho (Department of Internal Medicine, Hallym University College of Medicine)
Jang, Hyun-Joo (Department of Internal Medicine, Hallym University College of Medicine)
Kae, Sea-Hyub (Department of Internal Medicine, Hallym University College of Medicine)
Publication Information
Clinical Endoscopy / v.42, no.3, 2011 , pp. 190-194 More about this Journal
Abstract
Biloma is a rare disorder, and is defined as an abnormal extrahepatic or intrahepatic collection of bile within a defined capsular space. The common causes of biloma are iatrogenic and trauma. Spontaneous biloma, especially caused by pancreatic cancer, is very rare. An 86-year-old man was admitted with abdominal pain and fever. The patient denied a history of abdominal surgery, endoscopic retrograde cholangiography, or trauma. Abdominal computed tomography demonstrated a huge collection of fluid in the left lobe of the liver, dilatation of the intra and proximal common bile duct, and a heterogeneous enhancing mass in the pancreatic head portion. Percutaneous drainage under ultrasound guidance was performed, and the fluid analysis was compatible with biloma. A plastic stent was endoscopically inserted into the common bile duct to treat continuous drainage of the fluid despite percutaneous drainage. We report a case of biloma developed spontaneously in a patient with pancreatic cancer and successfully treated by endoscopic biliary stenting.
Keywords
Biloma; Pancreatic cancer; Biliary stenting; Endoscopic retrograde cholangiopancreatography;
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Times Cited By KSCI : 1  (Citation Analysis)
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