TITLE:
Biloma Post-Cholecystectomy: A Prudent “Wait-and-See” Approach
AUTHORS:
Mehdi Bourakkadi Idrissi, Dkhissi Younes
KEYWORDS:
Laparoscopic Cholecystectomy, Bile Duct Injury, Biloma, Conservative Treatment
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.13 No.12,
December
28,
2023
ABSTRACT: Bile duct injury (BDI) is a well-known complication of cholecystectomy and can lead to the formation of a variety of complications, including biloma. Once diagnosed, the appropriate treatment depends on the severity of the condition and can range from minimally invasive procedures to more invasive procedures. We report the case of a 31-year-old woman who exhibited postoperative bile leakage after a cholecystectomy and a CT scan revealed a left hepatic subcapsular biloma. The patient was managed conservatively with close monitoring. The biloma resolved on its own without any intervention. Bilomas are rare complication of cholecystectomy that can be managed conservatively with a wait and see approach, especially in asymptomatic patients. Close monitoring with imaging and laboratory parameters is crucial in the management of these patients.