Bilioma poscolecistitis aguda. A propósito de dos casos

Pinilla, Inmaculada; Gracia, M. Martí De; Martín, Susana Noval

doi:10.1157/13078250

Cited by 1 publication

(1 citation statement)

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“…The incidence of biloma was approximately 1% in this study. Few cases include the occurrence of biloma after spontaneous stone-filled gallbladder perforation [10], after alithiasic cholecystitis [15] or post traumatic as described after a stab wound for one of the patients of our present study.…”

Section: Discussionmentioning

confidence: 99%

A retrospective clinical and microbial analysis of 32 patients with bilomas

et al. 2019

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Background Bilomas are defined collections of bile fluids mainly caused by iatrogenic injuries of the bile duct system. Owing to the infrequency of this disease, studies addressing bilomas are rare. Methods By using an endoscopic database, this retrospective study identified 32 patients with bilomas treated between 2004 to 2015, in order to analyse aetiology, clinical presentation, spectrum of pathogens, and resolution rate of bilomas. Results 65.6% of the study population (21/32) developed bilomas after surgery and 21.9% (7/32) after endoscopic retrograde cholangiography (ERC). Icterus, fever, and abdominal pain were the leading symptoms. 93.9% (46/49) of microbiological bile cultures revealed a positive microbiology. The predominant microorganisms were the group of Enterobacteriaceae (43.0%, 52/121), followed by Enterococcus spp. (32.2%, 39/121), and Candida spp. (9.1%, 11/121). Multiresistant bacteria like Enterobacteriaceae were isolated from one quarter of all patients. Single or multimodal treatment resulted in an overall complication rate of 4.8% (9/188). Clinical follow-up analysis showed a complete resolution rate of 78.3% for interventional therapy and 80% in the non-interventional group. Conclusions Pathogen spectrum of bilomas mainly comprises the group of Enterobacteriacae and Enterococcus spp., with a high proportion of multiresistant bacteria. Different interventional approaches are available for biloma drainage, which seem to be safe and effective for most patients. Trial registration German Clinical Trials Register DRKS00015208 , retrospectively registered.

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Section: Discussionmentioning

confidence: 99%