FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2979601937> ?p ?o ?g. }

• W2979601937 endingPage "S733" @default.
• W2979601937 startingPage "S732" @default.
• W2979601937 abstract "INTRODUCTION: Biloma is an uncommon complication post cholecystectomy with a reported incidence of approximately 0.3-1.5%. While biloma formation is typically seen within weeks of surgery, there are very few documented cases of biloma formation seen years after an uncomplicated cholecystectomy, as seen in the case below. CASE DESCRIPTION/METHODS: A 35-year-old female with a medical history of cholelithiasis requiring cholecystectomy eight years prior presented with worsening dull right upper quadrant pain with early satiety and abdominal distention for two months. Vitals were stable with her exam notable for a palpable abdominal mass. Labs revealed a mild transaminitis. MRI demonstrated dilated bile ducts and a large 16.1 cm cystic lesion in the gallbladder fossa consistent with a biloma. 1.5 liters of proteinaceous material was drained by interventional radiology. Cultures and cytology were negative for an infectious or malignant process. HIDA scan revealed a bile leak for which she underwent an ERCP where two biliary stents were placed for a segmental duct leak. The patient clinically improved and was discharged home on antibiotics. Two outpatient ERCPs were performed, the first revealing a persistent small leak requiring stent exchange and the subsequent ERCP three months later demonstrating complete closure of the leak. DISCUSSION: A biloma is a demarcated collection localized outside the biliary tree often secondary to iatrogenic, traumatic and even spontaneous injury to the biliary tree. With the introduction of laparoscopic cholecystectomy, incidence of biliary injury has increased from 0.1% to about 0.3-1.5%. The pathophysiology is often secondary to either a leakage of bile from an improper closure of a cystic duct stump, transection of an accessory bile duct or duct of Luschka, or rarely from inadvertent injury of the segmental ducts. Presentation varies and can manifest with abdominal pain, nausea, fever and if large enough can result in obstructive jaundice. Diagnosis is typically 1-2 weeks post-surgery with few cases reported years post-op as seen here. Management is dependent on the size of the biloma and leak. Large bilomas often require percutaneous catheter drainage combined with ERCP with sphincterotomy and biliary stenting whereas small bilomas are treated conservatively. If refractory to endoscopic intervention, surgery may be warranted. We present this case to raise awareness of this uncommon, pathologic entity to help facilitate prompt diagnosis and treatment to avoid poor outcomes." @default.
• W2979601937 created "2019-10-18" @default.
• W2979601937 creator A5021083440 @default.
• W2979601937 creator A5023061236 @default.
• W2979601937 creator A5058667884 @default.
• W2979601937 creator A5065905345 @default.
• W2979601937 date "2019-10-01" @default.
• W2979601937 modified "2023-09-28" @default.
• W2979601937 title "1322 A Known Complication With a Delayed Presentation: A Rare Case of Biloma Formation Post-Cholecystectomy" @default.
• W2979601937 doi "https://doi.org/10.14309/01.ajg.0000594816.04705.21" @default.
• W2979601937 hasPublicationYear "2019" @default.
• W2979601937 type Work @default.
• W2979601937 sameAs 2979601937 @default.
• W2979601937 citedByCount "0" @default.
• W2979601937 crossrefType "journal-article" @default.
• W2979601937 hasAuthorship W2979601937A5021083440 @default.
• W2979601937 hasAuthorship W2979601937A5023061236 @default.
• W2979601937 hasAuthorship W2979601937A5058667884 @default.
• W2979601937 hasAuthorship W2979601937A5065905345 @default.
• W2979601937 hasConcept C126838900 @default.
• W2979601937 hasConcept C127413603 @default.
• W2979601937 hasConcept C141071460 @default.
• W2979601937 hasConcept C2775967933 @default.
• W2979601937 hasConcept C2776641081 @default.
• W2979601937 hasConcept C2777148285 @default.
• W2979601937 hasConcept C2777153553 @default.
• W2979601937 hasConcept C2778444009 @default.
• W2979601937 hasConcept C2779777945 @default.
• W2979601937 hasConcept C2780378346 @default.
• W2979601937 hasConcept C71924100 @default.
• W2979601937 hasConcept C81182388 @default.
• W2979601937 hasConcept C87717796 @default.
• W2979601937 hasConceptScore W2979601937C126838900 @default.
• W2979601937 hasConceptScore W2979601937C127413603 @default.
• W2979601937 hasConceptScore W2979601937C141071460 @default.
• W2979601937 hasConceptScore W2979601937C2775967933 @default.
• W2979601937 hasConceptScore W2979601937C2776641081 @default.
• W2979601937 hasConceptScore W2979601937C2777148285 @default.
• W2979601937 hasConceptScore W2979601937C2777153553 @default.
• W2979601937 hasConceptScore W2979601937C2778444009 @default.
• W2979601937 hasConceptScore W2979601937C2779777945 @default.
• W2979601937 hasConceptScore W2979601937C2780378346 @default.
• W2979601937 hasConceptScore W2979601937C71924100 @default.
• W2979601937 hasConceptScore W2979601937C81182388 @default.
• W2979601937 hasConceptScore W2979601937C87717796 @default.
• W2979601937 hasIssue "1" @default.
• W2979601937 hasLocation W29796019371 @default.
• W2979601937 hasOpenAccess W2979601937 @default.
• W2979601937 hasPrimaryLocation W29796019371 @default.
• W2979601937 hasRelatedWork W1580435439 @default.
• W2979601937 hasRelatedWork W1979856534 @default.
• W2979601937 hasRelatedWork W1995470042 @default.
• W2979601937 hasRelatedWork W2057306281 @default.
• W2979601937 hasRelatedWork W2113001898 @default.
• W2979601937 hasRelatedWork W2113684958 @default.
• W2979601937 hasRelatedWork W2295996310 @default.
• W2979601937 hasRelatedWork W2375448274 @default.
• W2979601937 hasRelatedWork W2380636679 @default.
• W2979601937 hasRelatedWork W4383162527 @default.
• W2979601937 hasVolume "114" @default.
• W2979601937 isParatext "false" @default.
• W2979601937 isRetracted "false" @default.
• W2979601937 magId "2979601937" @default.
• W2979601937 workType "article" @default.