Spontaneous Biloma in Association with Cholelithiasis

Author(s): L A Thomas, N Balaratnam, D G Richards & P D Duane

Description

A 79 year old lady presented with biliary symptoms, and was found to have multiple common bile duct calculi. What was initially thought to be ascites, subsequently was shown to be a large subcapsular collection of bile – a biloma. This most probably formed as a result of decompression of the dilated biliary tree into the subcapsular space.