Mushtaque Majid, Farooq Mir Mohammad, Nazir Parvez, Khan Parwez Sajad, Dadu Vidhi, A Dar Lateef, A Dar Rayees, A Khanday Samina
Department of General Surgery, Sher-i Kashmir Institute of Medical Sciences, Saura, Srinagar, Jamnu and Kashmir, India.
Turk J Gastroenterol. 2012 Jun;23(3):284-9. doi: 10.4318/tjg.2012.0346.
A biloma is an encapsulated bile collection outside the biliary tree. Most cases are caused mainly by iatrogenic injury and trauma, and are usually located in the sub-hepatic space. Spontaneous biloma is an uncommon entity. We report three rare cases of spontaneous hepatic subcapsular biloma formation in association with choledocholithiasis in two patients and cholangiocarcinoma in one patient. All the patients presented with extrahepatic biliary obstruction with no previous history of abdominal surgery, instrumentation, or trauma. Ultrasound and computerized tomography of the abdomen documented hepatic subcapsular biloma. The patients were initially managed with antibiotics and radiologically guided pigtail drainage of the collections, followed by definitive treatment of their underlying cause.
胆汁瘤是指胆汁在胆管树外形成的包膜性聚集物。大多数病例主要由医源性损伤和创伤引起，通常位于肝下间隙。自发性胆汁瘤是一种罕见的病症。我们报告了3例罕见的自发性肝包膜下胆汁瘤形成病例，其中2例与胆总管结石有关，1例与胆管癌有关。所有患者均表现为肝外胆管梗阻，且既往无腹部手术、器械操作或外伤史。腹部超声和计算机断层扫描证实存在肝包膜下胆汁瘤。患者最初接受抗生素治疗，并在影像学引导下对胆汁瘤进行猪尾导管引流，随后对其潜在病因进行确定性治疗。
