Skip to main content
Log in

Intrahepatic subcapsular biloma

A rare complication of laparoscopic cholecystectomy

  • Case Reports
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Bile leaks leading to bilomas in the subhepatic space are amongst the most common complications of laparoscopic cholecystectomy (LC). We describe the case of a large (1,100 cc) intrahepatic biloma that presented with pain and fever 14 days post LC. The diagnosis was suspected as a result of ultrasound and CT scan and the problem was solved by percutaneous catheter drainage. We believe this intrahepatic biloma was caused by a lesion of an abnormal bile duct near the bed of the gallbladder during a difficult dissection due to severe contraction and fibrosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Airan M, Appel M, Berci G, et al. (1992) Retrospective and prospective multi-institutional laparoscopic cholecystectomy study organized by the Society of American Gastro-intestinal Endoscopic Surgeons. Surg Endosc 6: 169–176

    Google Scholar 

  2. Appel MF (1993) Back to the basics in laparoscopic cholecystectomy. Surg Endosc 7: 1

    Google Scholar 

  3. Bailey RW (1991) Complications of laparoscopic general surgery. In: Sucker KA (ed) Surgical laparoscopy. Quality Medical Publishing, St Louis, MO, pp 311–342

    Google Scholar 

  4. Deyo GA (1992) Complications of laparoscopic cholecystectomy. Surg Laparosc Endosc 2: 41–48

    Google Scholar 

  5. Ferguson CM, Rattner DW, Warshaw AL (1992) Bile duct injury in laparoscopic cholecystectomy. Surg Laparosc Endosc 2: 1–7

    Google Scholar 

  6. Nathanson, LK, Shimis, Cushieri A (1991) Laparoscopic cholecystectomy: The Dundee technique. Br J Surg 78: 155–159

    Google Scholar 

  7. Scott TR, Zucker KA, Bailey RW (1992) Laparoscopic cholecystectomy: a review of 12.397 patients. Surg Laparosc Endosc 2(5): 191–198

    Google Scholar 

  8. Soper NJ, Stockmann PT, Dunnegan LD, Ashley SW (1992) Laparoscopic cholecystectomy the new “gold standard”? Arch Surg 127: 917–923

    Google Scholar 

  9. The Southern Surgeons Club (1991) A prospective analysis of 1518 laparoscopic cholecystectomies. N Eng J Med 324: 1073–1078

    Google Scholar 

  10. Williams PC, Warwick R (eds) (1980) Gray Anatomy (36th ed) WB Saunders, Philadelphia, p 1384

    Google Scholar 

  11. Wolfe BM, Gardiner BN, Leary BF, Frey CF (1991) Endoscopic cholecystectomy: an analysis of complications. Arch Surg 126(10): 1192–1198

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cervantes, J., Rojas, G.A. & Ponte, R. Intrahepatic subcapsular biloma. Surg Endosc 8, 208–210 (1994). https://doi.org/10.1007/BF00591832

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00591832

Key words

Navigation