Spontaneous retroperitoneal biloma in a patient with choledocholithiasis: Presentation of case

Retroperitoneal biloma—A rare differential diagnosis of perirenal fluid accumulation

“…However, biloma should be considered in cases with total bilirubin elevation because, notably, the total bilirubin is above the baseline value in all cases in the previous literature. 7 , 8 , 9 , 10 , 11 …”

“…Percutaneous drainage is a minimally invasive and reliable diagnostic and therapeutic procedure. Further, previous literature supports aggressive percutaneous drainage because of the large number of cases with a course that requires percutaneous drainage as treatment 3 , 5 , 8 , 10 , 11 and the necessity for rapid diagnosis because of the life‐threatening disease when it becomes severe. We acknowledge a report of good outcomes with a conservative approach using ERCP and bile duct stents after percutaneous drainage diagnosis.…”

“…We acknowledge a report of good outcomes with a conservative approach using ERCP and bile duct stents after percutaneous drainage diagnosis. 10 Conversely, ERCP and stenting should generally only be used as temporary measures to manage the acute obstructive phase 13 and surgical intervention is necessary after biliary decompression if the findings do not improve. The hemodynamic status of this patient was stable compared with previous reports.…”

“…Biloma occurs intrahepatic, intraperitoneal, or retroperitoneal, and most rarely within the retroperitoneum. 1 To date, the literature has published 10 cases, reporting retroperitoneal biloma due to spontaneous bile duct perforation, 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 with only one case due to left hepatic duct perforation. 11 Here, we report a case of retroperitoneal biloma due to left hepatic duct perforation, which required differentiation from perirenal abscess and urinary extravasation.…”