ArticleCureus2025
Subcapsular Biloma Secondary to Gallbladder Perforation in Acute Cholecystitis: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hepatic subcapsular biloma is a rare complication of gallbladder perforation in acute cholecystitis. We report the case of an 87-year-old man who presented with right upper quadrant pain, a new oxygen requirement, and deranged liver function tests, with a recent history of conservatively managed acute calculous cholecystitis. Magnetic resonance cholangiopancreatography (MRCP) demonstrated a thick-walled gallbladder containing a 2 cm calculus with focal fundal perforation and a large subcapsular fluid collection extending beneath the hepatic capsule, along with an associated right pleural effusion. These findings raised suspicion for gallbladder perforation with subcapsular biloma. Due to worsening inflammatory markers despite antibiotic therapy, the patient underwent ultrasound-guided transhepatic drainage, which confirmed the diagnosis by aspirating bile. One week later, he underwent laparoscopic cholecystectomy with intraoperative cholangiography, which confirmed the perforation site and demonstrated normal biliary anatomy. The patient recovered well; drains were removed sequentially, and he was discharged home with outpatient follow-up. This case highlights that a staged approach combining percutaneous drainage and laparoscopic cholecystectomy is a safe and effective management strategy for gallbladder perforation with subcapsular biloma.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.