Bile leaks are an important cause of morbidity after living donor liver transplantation (LDLT). This complication occurs in the early postoperative period and has an incidence of 15-40% [1]. These images (Figs. 1 and 2) are from a 57-yearold female who presented with symptoms of gastric outlet obstruction and was found to have a massive biloma. She had undergone a LDLT for hepatitis C cirrhosis...

is recommended for patients with unresectable hepatocellular carcinoma (HCC); however, it is not a risk-free procedure and biloma may occur as a complication [1]. A 45-year-old man, following liver transplantation, presented with recurrent HCC in the caudate lobe, close to the caval vein, and was treated by TACE. Subsequently, the patient was admitted for abdominal pain and fever. Computed tomo...

tion in close contact with the right liver lobe (Figure 1). Also, dilatation of intraand extrahepatic biliary ducts was observed, without determining the site of obstruction. With the diagnostic hypothesis of GB perforation in association with biloma, the patient was submitted to abdominal computed tomography (CT), which confirmed the parietal perforation of the GB and allowed the characterizat...

We report a case of a 74-year-old woman with a 16-year history of a double bilo-enteric anastomosis due to resected hilar cholangiocarcinoma (Type IIIb Klatskin tumor). The patient presented with cholangitis secondary to benign anastomotic stenosis which resulted in a large intrahepatic biloma. In order to restore the patency of the anastomosis and overcome cholangitis, several attempts took pl...

Laparoscopic surgery has become more widespread in the last years. Creating the pneumoperitoneum is the first surgical procedure but it is still responsible for many of the adverse events described in this field. Until now, liver puncture producing a delayed biloma has not been described. We present a case where a biloma was developed after liver puncture by the Veress needle, during a laparosc...

Spontaneous rupture of the biliary system is a well documented condition in infants but is rare in adults. We report the case of a 73-year-old gentleman who presented with clinical signs and symptoms mimicking that of a strangulated right inguinal hernia. At emergency operation the scrotum was found to contain bile. Following radiological imaging and exploratory surgery, a large retroperitoneal...

INTRODUCTION Spontaneous biloma formation is a very rare condition, which mandates immediate treatment. CASE PRESENTATION An 80-year-old Caucasian man was referred to our department with a diagnosis of intra-abdominal collection located in his right upper quadrant. Further radiological examination demonstrated multiple calculi in his gallbladder and common bile duct. Our patient underwent end...

Spontaneous perforation of the bile duct, is a disease in which spontaneous perforation occurs in the wall of the extrahepatic or intrahepatic duct without any traumatic or iatrogenic injury and more often described in neonates. In this report, we present a 38-year-old female patient who underwent surgery due to an intraabdominal cystic mass. The diagnosis of spontaneous rupture of the common b...

A 27-year-old man, who had been on steroid therapy for 2 months for his nephrotic syndrome, suddenly developed intra-abdominal bile collection (biloma). He had no previous history of abdominal surgery, trauma, or any disease of the hepatobiliary system. The cause of the biloma formation was due, probably, to cholecystitis in the absence of calculi and a pinhole size perforation in the wall of g...

laparoscopic cholecystectomy A 74-year-old woman presented with upper abdominal pain. An ultrasound scan showed signs of acute cholecystitis but the liver parenchyma and liver function tests were normal. She underwent laparoscopic cholecystectomy. An intraoperative cholangiogram was normal. On the 12th postoperative day, she presented to the emergency room with right upper quadrant pain. She ha...