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Question 9#

The treatment of choice for a biloma after laparoscopic cholecystectomy is:

A. Reoperation, closure of the leak, and drainage
B. Percutaneous drainage
C. Biliary stent
D. Observation

Correct Answer is C

Comment:

A bile leak due to an unrecognized injury to the ducts may present after cholecystectomy as a biloma. These patients may present with abdominal pain and hyperbilirubinemia. The diagnosis of a biliary leak can be confirmed by computed tomography (CT) scan, endoscopic retrograde cholangiopancreaticogram (ERCP), or radionuclide scan. Once a leak is confirmed, a retrograde biliary stent and external drainage are the treatment of choice.