胆嚢摘出後に発生したｂｉｌｏｍａの１例

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  • A Case Report of Biloma Following Cholecystectomy.

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A case of biloma which was silent and was removed following cholecystectomy is herein reported.<br> A 58-year-old woman was referred to the hospital because of a cystic mass below the right lobe of the liver which was found by an abdominal computed tomography at a periodic medical check-up. She had ha a cholecystectomy before 11 mouths and had no reoccuring sympotoms. Findings of abdominal ultrasonography and drip infusion cholangiography-computed tomography revealed the cystic mass to be 4cm in diameter. Biloma was suspected. After a laparotomy, a puncture to the cystic mass was performed, and the mass was diagnosed as biloma macroscopically because the fluid from the cystic tumor was like bile juice. This was confirmed by an intraoperative cystography which showed the cyst jutting out into the liver without communicating to the intrahepatic bile duct. The cystic mass was resected as possible as we can. The pathological diagnosis was that the pseudocyst consisted of fibroblast and no epithelium. The postoperative course was uneventfull. This disease requires to make the definite diagnosis with confirmation of bile juice in the cystic content, and thereby to treat the original cause.

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