Complications of Bile Duct Surgery: BILIOMA
Main Article Content
Abstract
Postcholecystectomy bilioma is an uncommon but potentially dangerous complication that can happen after gallbladder surgery. This disorder is characterized by the buildup of bile in the peritoneal cavity as a result of bile duct damage following surgery or bile duct leaking.
The development of a postcholecystectomy bilioma may be asymptomatic or manifest as nausea, fever, and abdominal discomfort. Imaging studies such as computed tomography, magnetic resonance imaging, and ultrasound are used to make the diagnosis. The size, location, and presence or absence of complications all affect how postcholecystectomy bilioma is treated. Small, asymptomatic biliomas can be treated conservatively, while larger, more difficult biliomas may need invasive procedures like surgery or image-guided percutaneous drainage. The prevention of postcholecystectomy bilioma requires meticulous surgical technique and meticulous postoperative monitoring.
Discussion: Postcholecystectomy bilioma is an uncommon but potentially dangerous complication that, if not identified and adequately managed, can have long-term effects. Preventing the development of biliomas is crucial and depends on excellent surgical technique and diligent postoperative monitoring. To avoid significant postcholecystectomy bilioma consequences, early detection is essential. Depending on the size, location, and presence or absence of complications, postcholecystectomy bilioma treatment may be conservative or invasive. method and meticulous postoperative care.
Conclusion: To avoid major problems related to postcholecystectomy bilioma, early identification and effective treatment are essential. Individuals who have had a cholecystectomy should be informed of the possible dangers and side effects of surgery and should get medical help right away if they develop symptoms like nausea, fever, or stomach discomfort. The prevention of postcholecystectomy bilioma requires meticulous surgical technique and meticulous postoperative monitoring. In conclusion, postcholecystectomy bilioma is an uncommon but potentially dangerous complication that calls for prompt and appropriate medical care.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. Majumder, A., Altieri, M. S., & Brunt, L. M. (2020). How do I do it: laparoscopic cholecystectomy. Ann Laparosc Endosc Surg, 5, 15.
II. Nezami, N., Jarmakani, H., Arici, M., Latich, I., Mojibian, H., Ayyagari, R. R., ... & Perez Lozada, J. C. L. (2019). Selective trans-catheter coil embolization of cystic duct stump in post-cholecystectomy bile leak. Digestive Diseases and Sciences, 64, 3314-3320.
III. Reddy, S., Lopes Vendrami, C., Mittal, P., Borhani, A. A., Moreno, C. C., & Miller, F. H. (2021). MRI evaluation of bile duct injuries and other post-cholecystectomy complications. Abdominal Radiology, 46, 3086-3104.
IV. Sanford, D. E. (2019). An update on technical aspects of cholecystectomy. Surgical Clinics, 99(2), 245-258.
V. Bergagnini, I., Alexandre, C., Okeke, F., & Zlatanic, J. (2019). 1322 A Known Complication With a Delayed Presentation: A Rare Case of Biloma Formation Post-Cholecystectomy. Official journal of the American College of Gastroenterology| ACG, 114, S732-S733.
VI. Balfour, J., & Ewing, A. (2021). Hepatic Biloma.
VII. Handaya, A. Y., Fauzi, A. R., Andrew, J., Hanif, A. S., Radinal, K., & Aditya, A. F. K. (2021). Spontaneous cystic biloma after laparoscopic cholecystectomy treated conservatively: A case report. Annals of Medicine and Surgery, 66, 102435.
VIII. Liu, J., Wu, Y., Xu, E., Huang, Q., Ye, H., Tan, L., ... & Li, K. (2019). Risk factors of intrahepatic biloma and secondary infection after thermal ablation for malignant hepatic tumors. International Journal of Hyperthermia, 36(1), 979-984.
IX. Altieri, M. S., & Brunt, L. M. (2019). Elimination of bile duct injury in cholecystectomy. Advances in surgery, 53, 145-160.
X. Liu, J., Wu, Y., Xu, E., Huang, Q., Ye, H., Tan, L., ... & Li, K. (2019). Risk factors of intrahepatic biloma and secondary infection after thermal ablation for malignant hepatic tumors. International Journal of Hyperthermia, 36(1), 979-984.
XI. Kumagai, Y. U., Fujioka, S., Hata, T., Misawa, T., Kitamura, H., Furukawa, K., ... & Yanaga, K. (2019). Impact of bile exposure time on organ/space surgical site infections after pancreaticoduodenectomy. in vivo, 33(5), 1553-1557.
XII. Nassar, A. H., & Ng, H. J. (2022). Risk identification and technical modifications reduce the incidence of post-cholecystectomy bile leakage: analysis of 5675 laparoscopic cholecystectomies. Langenbeck's Archives of Surgery, 407(1), 213-223.