Korean Journal of Gastrointestinal Endoscopy 1995;15(4): 783-787.
증례 : 담도 췌장 ; 외상후에 발생한 Biloma 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of Posttraumatic Biloma )
장린, 장영운, 이정일, 김병호, 김효종, 동석호, 한민수, 이상경, 이상목, 홍성화 (Rin Chang, Young Woon Chang, Jung Il Lee, Byung Ho Kim, Hyo Jong Kim, Seok Ho Dong, Min Soo Han, Sang Kyung Lee, Sang Mok Lee and Sung Wha Hong)
Abstract
Biloma is defined as an extraductular collection of bile within a defined capsular space. Biloma usually occurs secondary to traumatic or iatrogenic injury including abdominal surgery, percutaneous catheter drainage, and transhepatic cholangiography. The diagnostic methods include clinical history and physical examination, abdominal ultrasound, abdominal CT scan, hepatobiliary scintigraphy, endoscopic cholangiography and percutaneous aspiration, Though definite treatment by percutaneous radiographic catheter drainage and endoscopic drainage with sphincterotomy are now feasible in many instances, surgical drainage is often needed. We report a case of posttraurnatic biloma which was developed after car accident. Liver scan and endoscopic cholangiography showed typical features of biloma in this patient. (Kor J Gastrointest Endonc l5: 783-787, 1995)
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