Post-traumatic biloma is a rare complication of closed trauma of the abdomen. It’s characterized by an abnormal intra- or extrahepatic bile collection occurring spontaneously or secondary to traumatic or iatrogenic injury to the biliary system. It can lead to significant morbidity and mortality if not diagnosed promptly and properly managed. We report the case of a 22-year-old male, brought to the emergency department following a high-speed motorbike accident. He underwent an urgent laparotomy for a Grade 4 liver injury. On day 28 post injury the patient presented with progressive dyspnea, abdominal pain, nausea and vomiting. A biloma was diagnosed with computed tomography (CT) scan. The patient underwent conservative management by percutaneous drainage under ultrasound guidance. Following this procedure, the patient made satisfactory postoperative progress. the drains were removed two weeks later, with practically no drainage. Ultrasound exams were performed two weeks then one month following his discharge, showing a significant resolution of the biloma.
Key words: biloma, liver injury, trauma, percutaneous drainage.
|
