Biloma, Pancreatic cancer, Biliary stenting, Endoscopic retrograde cholangiopancreatography"/> Spontaneous Biloma Caused by Pancreatic Cancer and Treated by Endoscopic Biliary Stenting
Korean J Gastrointest Endosc > Volume 42(3); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(3): 190-194.
담관 스텐트 삽입으로 치료한 췌장암에 의한 담즙종 1예
박지영ㆍ이진ㆍ이순재ㆍ권세아ㆍ고동희ㆍ최민호ㆍ장현주ㆍ계세협
한림대학교 의과대학 내과학교실
Spontaneous Biloma Caused by Pancreatic Cancer and Treated by Endoscopic Biliary Stenting
Ji Young Park, M.D., Jin Lee, M.D., Soon Jae Lee, M.D., Se Ah Kwon, M.D., Dong Hee Koh, M.D., Min Ho Choi, M.D., Hyun Joo Jang, M.D. and Sea Hyub Kae, M.D.
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea
Abstract
Biloma is a rare disorder, and is defined as an abnormal extrahepatic or intrahepatic collection of bile within a defined capsular space. The common causes of biloma are iatrogenic and trauma. Spontaneous biloma, especially caused by pancreatic cancer, is very rare. An 86-year-old man was admitted with abdominal pain and fever. The patient denied a history of abdominal surgery, endoscopic retrograde cholangiography, or trauma. Abdominal computed tomography demonstrated a huge collection of fluid in the left lobe of the liver, dilatation of the intra and proximal common bile duct, and a heterogeneous enhancing mass in the pancreatic head portion. Percutaneous drainage under ultrasound guidance was performed, and the fluid analysis was compatible with biloma. A plastic stent was endoscopically inserted into the common bile duct to treat continuous drainage of the fluid despite percutaneous drainage. We report a case of biloma developed spontaneously in a patient with pancreatic cancer and successfully treated by endoscopic biliary stenting. (Korean J Gastrointest Endosc 2011;42:190-194)
Key Words: Biloma, Pancreatic cancer, Biliary stenting, Endoscopic retrograde cholangiopancreatography
주요어: 담즙종, 췌장암, 담관 스텐트, 내시경 역행성 췌담관 조영술
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