Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report

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 intra-abdominal collection located in his right upper quadrant. Further radiological examination d...
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Autor*in:	Bas, Gurhan [verfasserIn] Okan, Ismail Sahin, Mustafa Eryılmaz, Ramazan Isık, Arda

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2011

Schlagwörter:	Common Bile Duct Percutaneous Drainage Biliary Tree Common Bile Duct Stone Endoscopic Retrograde Cholangiopancreatography

Anmerkung:	© Bas et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (

Übergeordnetes Werk:	Enthalten in: Journal of medical case reports - London : BioMed Central, 2007, 5(2011), 1 vom: 06. Jan.
Übergeordnetes Werk:	volume:5 ; year:2011 ; number:1 ; day:06 ; month:01

Links:	Volltext

DOI / URN:	10.1186/1752-1947-5-3

Katalog-ID:	SPR031038204

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520			\|a 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 intra-abdominal 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.
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allfields	10.1186/1752-1947-5-3 doi (DE-627)SPR031038204 (SPR)1752-1947-5-3-e DE-627 ger DE-627 rakwb eng Bas, Gurhan verfasserin aut Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Bas et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( 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 intra-abdominal 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. Common Bile Duct (dpeaa)DE-He213 Percutaneous Drainage (dpeaa)DE-He213 Biliary Tree (dpeaa)DE-He213 Common Bile Duct Stone (dpeaa)DE-He213 Endoscopic Retrograde Cholangiopancreatography (dpeaa)DE-He213 Okan, Ismail aut Sahin, Mustafa aut Eryılmaz, Ramazan aut Isık, Arda aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 5(2011), 1 vom: 06. Jan. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:5 year:2011 number:1 day:06 month:01 https://dx.doi.org/10.1186/1752-1947-5-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2011 1 06 01
spelling	10.1186/1752-1947-5-3 doi (DE-627)SPR031038204 (SPR)1752-1947-5-3-e DE-627 ger DE-627 rakwb eng Bas, Gurhan verfasserin aut Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Bas et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( 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 intra-abdominal 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. Common Bile Duct (dpeaa)DE-He213 Percutaneous Drainage (dpeaa)DE-He213 Biliary Tree (dpeaa)DE-He213 Common Bile Duct Stone (dpeaa)DE-He213 Endoscopic Retrograde Cholangiopancreatography (dpeaa)DE-He213 Okan, Ismail aut Sahin, Mustafa aut Eryılmaz, Ramazan aut Isık, Arda aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 5(2011), 1 vom: 06. Jan. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:5 year:2011 number:1 day:06 month:01 https://dx.doi.org/10.1186/1752-1947-5-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2011 1 06 01
allfields_unstemmed	10.1186/1752-1947-5-3 doi (DE-627)SPR031038204 (SPR)1752-1947-5-3-e DE-627 ger DE-627 rakwb eng Bas, Gurhan verfasserin aut Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Bas et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( 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 intra-abdominal 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. Common Bile Duct (dpeaa)DE-He213 Percutaneous Drainage (dpeaa)DE-He213 Biliary Tree (dpeaa)DE-He213 Common Bile Duct Stone (dpeaa)DE-He213 Endoscopic Retrograde Cholangiopancreatography (dpeaa)DE-He213 Okan, Ismail aut Sahin, Mustafa aut Eryılmaz, Ramazan aut Isık, Arda aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 5(2011), 1 vom: 06. Jan. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:5 year:2011 number:1 day:06 month:01 https://dx.doi.org/10.1186/1752-1947-5-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2011 1 06 01
allfieldsGer	10.1186/1752-1947-5-3 doi (DE-627)SPR031038204 (SPR)1752-1947-5-3-e DE-627 ger DE-627 rakwb eng Bas, Gurhan verfasserin aut Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Bas et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( 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 intra-abdominal 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. Common Bile Duct (dpeaa)DE-He213 Percutaneous Drainage (dpeaa)DE-He213 Biliary Tree (dpeaa)DE-He213 Common Bile Duct Stone (dpeaa)DE-He213 Endoscopic Retrograde Cholangiopancreatography (dpeaa)DE-He213 Okan, Ismail aut Sahin, Mustafa aut Eryılmaz, Ramazan aut Isık, Arda aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 5(2011), 1 vom: 06. Jan. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:5 year:2011 number:1 day:06 month:01 https://dx.doi.org/10.1186/1752-1947-5-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2011 1 06 01
allfieldsSound	10.1186/1752-1947-5-3 doi (DE-627)SPR031038204 (SPR)1752-1947-5-3-e DE-627 ger DE-627 rakwb eng Bas, Gurhan verfasserin aut Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Bas et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( 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 intra-abdominal 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. Common Bile Duct (dpeaa)DE-He213 Percutaneous Drainage (dpeaa)DE-He213 Biliary Tree (dpeaa)DE-He213 Common Bile Duct Stone (dpeaa)DE-He213 Endoscopic Retrograde Cholangiopancreatography (dpeaa)DE-He213 Okan, Ismail aut Sahin, Mustafa aut Eryılmaz, Ramazan aut Isık, Arda aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 5(2011), 1 vom: 06. Jan. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:5 year:2011 number:1 day:06 month:01 https://dx.doi.org/10.1186/1752-1947-5-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2011 1 06 01
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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">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 intra-abdominal 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. 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author	Bas, Gurhan
spellingShingle	Bas, Gurhan misc Common Bile Duct misc Percutaneous Drainage misc Biliary Tree misc Common Bile Duct Stone misc Endoscopic Retrograde Cholangiopancreatography Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report
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topic_title	Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report Common Bile Duct (dpeaa)DE-He213 Percutaneous Drainage (dpeaa)DE-He213 Biliary Tree (dpeaa)DE-He213 Common Bile Duct Stone (dpeaa)DE-He213 Endoscopic Retrograde Cholangiopancreatography (dpeaa)DE-He213
topic	misc Common Bile Duct misc Percutaneous Drainage misc Biliary Tree misc Common Bile Duct Stone misc Endoscopic Retrograde Cholangiopancreatography
topic_unstemmed	misc Common Bile Duct misc Percutaneous Drainage misc Biliary Tree misc Common Bile Duct Stone misc Endoscopic Retrograde Cholangiopancreatography
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title	Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report
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title_full	Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report
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title_sort	spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report
title_auth	Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report
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 intra-abdominal 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. © Bas et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (
abstractGer	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 intra-abdominal 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. © Bas et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (
abstract_unstemmed	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 intra-abdominal 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. © Bas et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (
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title_short	Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report
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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">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 intra-abdominal 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. 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