2018 Volume 3 Issue 2 Pages 80-83
We report a case of successful treatment of an intractable large biloma induced by transcatheter arterial chemoembolization with beads for hepatocellular carcinoma. First, percutaneous drainage was performed for the biloma but the volume of discharge continued at > 300 ml per day for 12 days. We were unable to approach the proximal bile duct from the biloma. We performed sclerosis of the biloma with ethanolamine oleate, after which the volume of drained bile was markedly decreased. After this sclerotherapy, we were able to advance the catheter into the proximal bile duct from the biloma. Subsequently, internal drainage with a metallic stent was successful, and the biloma was resolved. The patient's course has been uneventful for the 2 years since the stent placement.
