A Serious Complication Following Laparoscopic Cholecystectomy: A Giant Biloma Causing Acute Abdomen

Year 2020, Volume: 10 Issue: 2, 281 - 283, 25.06.2020

Abdussamed Vural İsmail Altıntop

https://doi.org/10.16899/jcm.725438

Abstract

Possible complications are rare after laparoscopic cholecystectomy. Infection, bleeding and damage to the biliary tract complications are among these. A biloma is a well-demarcated, encapsulated or not,intrahepatic or extrahepatic bile collection secondary to iatrogenic, traumatic or spontaneous injury of the biliary tree. Laboratory findings are nonspecific. The diagnosis is usually suspected on the basis of a typical history (right upper quadrant abdominal pain, fever and recent abdominal trauma or surgery) and is confirmed by detection of typical radiologic features.
With this case report, we wanted to emphasize that in acute abdominal etiology, a surgical biloma that may develop after laparoscopic cholecystectomy should also be considered.

Keywords

: Biloma, laparoscopic cholecystectomy, postoperative complications

Laparoskopik Kolesistektomi Sonrası Gelişen Ciddi bir Komplikasyon: Akut Batına Neden Olan Dev Biloma

Abstract

Laparoskopik kolesistektomi sonrası gelişebilecek komplikasyonlar nadirdir. Enfeksiyon, kanama ve safra yolları hasarı bu komplikasyonlar arasında sayılabilir. Biloma, safra yollarının travmatik veya spontan hasarı sonrası intrahepatik veya ekstrahepatik yerleşim gösterebilen içi safra dolu iyi sınırlı, kapsüllü ya da kapsülsüz kistik bir lezyonudur. Laboratuvar bulguları spesifik olmayan bu hastalığın teşhisi tipik öykü (sağ üst kadran ağrısı, ateş, geçirilmiş cerrahi veya abdominal travma öyküsü ) ve doğrulayıcı radyolojik görüntü ile konur.
Biz bu olgu sunumu ile akut karın etiyolojisinde laparoskopik kolesistektomi işlemi sonrasında gelişebilecek cerrahi bir bilomanın da düşünülmesi gerektiğini vurgulamak istedik.

Keywords

Biloma, laparoskopik komplikasyon olan kolesistektomi, post operatif komplikasyonlar, reoperasyon

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