Giant biloma as a result of a blunt XXXX : A case report.

@entity1 @entity1085 @entity390 @entity1087 @entity130 @entity391 @entity1661 @entity5173 @entity397 @entity155 @entity285 @entity2332 @entity1851
UNASSIGNED: A 58-year-old @entity1 with a history of a heavy @entity285 intake was admitted to hospital for a 3-weeks history of abdominal discomfort, @entity390 , @entity391 and an increased abdominal girth that appeared progressively after an @entity1661 due to an @entity2332 . On physical examination, @entity1087 was present and the abdomen was distended with no tenderness on palpation. Laboratory studies showed an increased white-cell count, an elevated @entity1851 and abnormal liver-function tests. Abdominal ultrasonography showed a large fluid collection in the right side of the abdomen. An abdominal computed tomography scan revealed a @entity1085 perforation communicating to a big subcapsular hepatic biloma of 9.5 by 25.0 by 35.0 centimeters, which was compressing the liver and other intraabdominal organs. Finally, our @entity1 underwent an open cholecystectomy with @entity5173 , and a partial resection of the Glisson's capsule. Macroscopic and microscopic examination of the resected specimens confirmed the diagnosis of @entity1085 perforation. Gallbladder @entity130 is a rare entity. The diagnosis represents a challenge because of its low incidence, its association with other lesions of vital organs and the nonspecific and insidious symptoms that can produce. Treatment depends on the type and severity of the damage caused; nevertheless, cholecystectomy remains the treatment of choice in @entity1 with @entity397 or @entity155 of the @entity1085 . To our knowledge, this is the first report in the English literature of an isolated blunt @entity130 that was associated with the development of a large biloma.
