POSTCHOLECYSTECTOMY BILOMA IN 70 YEAR FEMALE

DBabu Ram Paudel Bikash Rai, Lakhan Lal Shah, Santa Bir Maharjan

Abstract


Biloma is a localized collection of bile after biliary tree injury or spontaneous rupture. 70 year lady presented with infected biloma is managed by external drainage, biliary stenting and drugs without laparotomy following laparoscopic cholecystectomy in spite of failed immediate ERCP due to mass effect of biloma however two weeks post op. ERCP attempt did not show overt leak point of contrast in biliary tree and sealing of leakage from small biliary duct perhaps anomalous concluded. We report such an educational case which may be difficult to every surgeon to anticipate at the time of operation

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