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Delayed Presentation of a Postoperative Biloma Requiring Multimodal Intervention in an Elderly Female: A Case Report

Year: 2025

Type: article

Abstract: Biloma is a rare but serious postoperative complication, often resulting from iatrogenic bile duct injury. We present the case of an 81-year-old woman with a delayed presentation of biloma complicated by sepsis, who required both interventional radiology (IR)-guided drainage and endoscopic retrograde cholangiopancreatography (ERCP) with biliary stenting for management. There was a delay in diagnosis and management for this case, particularly due to a combination of subtle clinical signs, language and hearing barriers, and limited patient understanding of management. This report emphasizes the importance of multidisciplinary care, culturally competent communication, and flexibility in managing bile leaks in older adults.

Source: Cureus

DOI: 10.7759/cureus.91858

Authors: Se Jong Choi, Veronica Rasmusen, Niki Mohammadi

Institutions: Arrowhead Regional Medical Center, California University of Science and Medicine

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414220926