Hepatic duct transection with biloma formation

Background: A liver-related injury such as bile leak and biloma formation is common in high-grade liver injury (grade III-VI). The presentation is usually non-specific requiring a high index of suspicion in its diagnosis. Although this condition is considered benign, the implication of an untreated biloma is severe. Case presentation: We presented a case of a 25-year-old man who is involved in a road traffic accident and sustained multiple liver lacerations. Liver packing was done with no immediate complication. However, he developed an infected biloma during recovery. Magnetic resonance cholangiopancreatography confirmed a transected right hepatic duct. Biliary duct stenting and percutaneous was done successfully. Conclusion: Biloma is common in high-grade liver injury. Early diagnosis is needed to ensure treatment success. � 2017 Surgical Society of Northern Greece. All rights reserved.