ABSTRACT

Background: Biloma is loculated collection of bile that may develop due to iatrogenic causes, traumatically or spontaneously with biliary tree isruption. Hepatic bilateral subcapsular biloma is a rare complication of laparoscopic cholecystectomy and an even more scarce when it occurs spontaneously.

Case Presentation: A 65 years old man came to our hospital with abdominal pain and enlarged abdomen. Six weeks earlier he wentlaparoscopic cholecystectomy in a private hospital, because of stone in the gall bladder and cholecystitis. The physical examination obtained no icteric and distended abdomen with pain on palpation. Laboratory findings were within normal limit with negative viral infection markers. Abdominal trasonography revealed chronic liver disease with giant liver cyst and ascites. Contrast abdominal multi-slice computed monography (MSCT) demonstrated bilateral hepatic subcapsular biloma. Laparatomy and drainage were then performed and he was discharged from the hospital several days later in good ondition.

Conclusion: Bilateral hepatic subcapsular biloma is a rare case. One of its diagnostic tools is MSCT. Biloma drainage is the first choice of treatment.

Keywords: Biloma, post laparoscopic cholecystectomy, drainage Correspondence: Triyanta Yuli Pramana. Department of Gastroenterology and Hepatology Division, Dr. Moewardi Hospital/ Faculty of Medicine, Universitas Sebelas Maret. Email: typramana@gmail.com

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