Gastric Outlet Obstruction Secondary to Post Cholecystectomy Biloma: Case Report and Review of the Literature

Background: Postcholecystectomy bilomas are relatively uncommon with a reported incidence of about 2.5%, and most often present with right upper quadrant pain and fever within seven days of the operation. There are a number of approaches to the treatment of this uncommon lesion. Case Report: The authors report a case of a cholecystectomy performed in a 35-year-old female which resulted in a biloma, presenting 11 days postoperatively with gastric outlet obstruction. The literature is reviewed to suggest the optimal management and treatment plans for this complication. Results: This patient was successfully managed with radiologic intervention for the treatment of a biloma and resulting gastric outlet obstruction after open cholecystectomy. Conclusion: Although uncommon, bilomas may present in an unusual manner such as with gastric outlet obstruction. As with early bilomas, they may be treated successfully with interventional radiologic techniques.

[1]  B. Sammak,et al.  CASE REPORT: Radiological and endoscopic management of bile leak following laparoscopic cholecystectomy , 1997, Journal of gastroenterology and hepatology.

[2]  P. Brady,et al.  Endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy. , 1996, Digestive diseases.

[3]  G. Moss.  Raising the outcome standards for conventional open cholecystectomy. , 1996, American journal of surgery.

[4]  V. Singh,et al.  POSTCHOLECYSTECTOMY PROBLEMS AND THE ROLE OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY , 1996, The British journal of clinical practice.

[5]  D. Jones,et al.  Complications of laparoscopic cholecystectomy. , 1996, Annual review of medicine.

[6]  G. Todorov,et al.  Laparoscopic cholecystectomy: 700 consecutive cases. , 1995, International surgery.

[7]  L. Traverso,et al.  Endoscopic retrograde cholangiopancreatography after laparoscopic cholecystectomy. , 1993, American journal of surgery.

[8]  T. Kinjo,et al.  [A case of spontaneous biloma accompanied with incarcerated choledocholithiasis]. , 1993, Nihon Geka Gakkai zasshi.

[9]  W. Hogan,et al.  Endoscopic treatment of problems encountered after laparoscopic cholecystectomy [corrected]. , 1993, Gastrointestinal Endoscopy.

[10]  P. Foutch,et al.  Endoscopic therapy for patients with a post-operative biliary leak. , 1993, Gastrointestinal endoscopy.

[11]  R. Kozarek,et al.  Bile leak after laparoscopic cholecystectomy. Diagnostic and therapeutic application of endoscopic retrograde cholangiopancreatography. , 1992, Archives of internal medicine.

[12]  D. Brooks,et al.  Bile duct disruption and biloma after laparoscopic cholecystectomy: imaging evaluation. , 1992, AJR. American journal of roentgenology.

[13]  R. Colović,et al.  Retroperitoneal Biloma Secondary to Operative Common Bile Duct Injury , 1991, HPB surgery : a world journal of hepatic, pancreatic and biliary surgery.

[14]  G. Casola,et al.  The role of interventional radiology for complications of cholecystectomy , 1990, Surgery.