TY - JOUR
T1 - A case report of a spontaneous biloma growing rapidly with infection
AU - Katsura, Nagato
AU - Satomura, Kazunari
AU - Himukashi, Syugaku
AU - Ikai, Iwao
AU - Yamamoto, Masayuki
AU - Yamaoka, Yoshio
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 1997
Y1 - 1997
N2 - We report a case of a spontaneous biloma associated with an incarcerated confluence stone. A 74-year-old man was admitted to our hospital because of upper abdominal pain, jaundice, and fever. Abdominal MRI performed in the morning of the admission day showed no specific findings. But, about 5 hours later on the same day, abdominal CT and ultrasonography revealed large cystic lesions located on the anterior and posterior surfaces of the left lobe of the liver. Since aspirated fluid revealed bile infected with Klebsiella pneumoniae, the lesions were diagnosed as bilomas with infection. We could not find any previous report on such a rapid-growing biloma following obstruction of the bile duct with a confluence stone. A biloma is usually slow-growing. Our rare case suggests that we should conduct CT or ultrasonography repeatedly to detect the possibility of bile duct obstruction when we find a rapidgrowing biloma.
AB - We report a case of a spontaneous biloma associated with an incarcerated confluence stone. A 74-year-old man was admitted to our hospital because of upper abdominal pain, jaundice, and fever. Abdominal MRI performed in the morning of the admission day showed no specific findings. But, about 5 hours later on the same day, abdominal CT and ultrasonography revealed large cystic lesions located on the anterior and posterior surfaces of the left lobe of the liver. Since aspirated fluid revealed bile infected with Klebsiella pneumoniae, the lesions were diagnosed as bilomas with infection. We could not find any previous report on such a rapid-growing biloma following obstruction of the bile duct with a confluence stone. A biloma is usually slow-growing. Our rare case suggests that we should conduct CT or ultrasonography repeatedly to detect the possibility of bile duct obstruction when we find a rapidgrowing biloma.
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U2 - 10.5833/jjgs.30.2024
DO - 10.5833/jjgs.30.2024
M3 - Article
AN - SCOPUS:53249100596
VL - 30
SP - 2024
EP - 2028
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
SN - 0386-9768
IS - 10
ER -