Case Report
Copyright ©The Author(s) 2005. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Aug 14, 2005; 11(30): 4764-4765
Published online Aug 14, 2005. doi: 10.3748/wjg.v11.i30.4764
Biloma following repeated transcatheter arterial embolization and complicated by intrahepatic duct stones: A case report
Ming-Jen Chen, Ching-Chung Lin, Wen-Hsiung Chang, Fei-Shih Yang
Ming-Jen Chen, Ching-Chung Lin, Wen-Hsiung Chang, Division of Gastroenterology, Department of Internal medicine, Mackay Memorial Hospital, Mackay Medicine, Nursing and Management College, Taipei, Taiwan, China
Fei-Shih Yang, Department of Radiation, Mackay Memorial Hospital, Mackay Medicine, Nursing and Management College, Taipei, Taiwan, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Ming-Jen Chen, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, No. 92, Sec. 2, Chungshan North Road, Taipei, Taiwan, China. mingjen.ch@msa.hinet.net
Telephone: +886-2-25433535-2260 Fax: +886-2-25433642
Received: May 25, 2004
Revised: June 13, 2004
Accepted: June 18, 2004
Published online: August 14, 2005
Abstract

Biloma is an encapsulated bile collection outside the biliary tree due to a bile leak. It is occasionally found following traumatic liver injury or iatrogenic injury to the biliary tract, induced either during an endoscopic or surgical procedure. It is a rare complication of transcatheter arterial embolization (TAE). Although biloma can be shrunk by appropriate aspiration or drainage in majority of cases, we report a case of intrahepatic biloma following repeated TAE for hepatocellular carcinoma (HCC) and complicated by infection and intrahepatic stones. This particular constellation of problems has not been reported before and the intrahepatic stones need to be removed by percutaneous procedure.

Keywords: Biloma; Biliary tract; Transcatheter; Arterial embolization