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October 15, 2025CureusOpen Access

Delayed Biloma Secondary to an Iatrogenic Common Hepatic Duct Injury After Open Cholecystectomy: A Rare Cause of Persistent Biliary Drainage

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Case report reveals delayed biloma diagnosis in a patient post-cholecystectomy, indicating imaging's importance.

Delayed biloma occurred 52 days post cholecystectomy, leading to persistent symptoms and a bile leak.
Ultrasonography and MRCP confirmed the biloma and highlighted residual cystic duct calculi.
Exploratory laparotomy uncovered an iatrogenic common hepatic duct injury, necessitating surgical intervention.
The case emphasizes the need for timely imaging to address delayed biloma effectively.

Habte et al. (2025) studied this question.

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