The purpose of this article is to compare the complication rates of imaging-guided percutaneous cholecystostomy (PC) between transperitoneal and transhepatic approaches. We performed a database search for patients who underwent imaging-guided percutaneous cholecystostomy from Dec., 2009 to Jun., 2012. Four hundred sixty-five patients were included in our study. These patients were subdivided in...

BACKGROUND Spontaneous perforation of the bile duct in adults is very rare, particularly in cases accompanied by retroperitoneal biloma. We report a patient with retroperitoneal biloma due to a spontaneous perforation of the left hepatic duct. CASE REPORT An 82-year-old man was admitted to our institution with abdominal pain and a high fever. He had tenderness at the epi-mesogastrium. Compute...

Bilomas are intraor extrahepatic collections of bile that develop outside of the biliary tree.1,2 They are most commonly iatrogenic in nature and often the result of surgical procedures, transhepatic interventions, or trauma.3–5 Clinically, bilomas can cause symptoms of pain, abdominal distention, jaundice, and leukocytosis.6,7 Management of patients with bile duct injuries and bilomas often re...