Biloma draining upcoming - any advice?
Am getting my 6.5cm biloma drained (percutaneous) Thursday (diagnosed and suffering since Dec 11). Anyone offer me a heads up or advice?
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@kaljean, I am sorry to read that you have been suffering since Dec. 11. I hope that Thursday's procedure will result in relief from any pain, discomfort, and worry that you might be experiencing. I was not familiar with Biloma, so I had to look it up. I found a short summary on the 1st page/introduction of a NIH Continuing Education article, which I share below. I see that it is: Localized collection of bile within or adjacent to the liver, Early recognition is essential, Management focuses on controlling infection, draining and repairing bile leak when necessary.
https://www.ncbi.nlm.nih.gov/books/NBK574559/
Continuing Education Activity
"A hepatic biloma is a localized collection of bile within or adjacent to the liver, most commonly resulting from iatrogenic injury to the biliary tree during hepatobiliary surgery, percutaneous interventions, or trauma. Patients may present with abdominal pain, fever, jaundice, leukocytosis, or delayed postoperative recovery, though symptoms can be subtle or nonspecific. Early recognition through imaging, typically ultrasound or computed tomography, is essential to prevent progression to sepsis, biliary peritonitis, or hepatic dysfunction. Management focuses on controlling infection, draining the collection via endoscopic or percutaneous methods, and repairing the underlying bile leak when necessary...."
Have you ever had a percutaneous procedure? I have had many paracenteses to drain abdominal fluid before my transplant. It is through the skin, and the area is numbed so that you will likely feel only a pinch when the needle is inserted into the abdomen.
@kaljean What symptoms did you experience that resulted in the December 11 appoinrment and schedulimng of the procedure on Thursday?
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2 Reactions@rosemarya Initially my symptoms were: pain and gas, much like having a gall bladder attack; it even hurt to breathe. Over the weeks I have had all sorts of abdominal/ digestive issues.
I have never had a percutaneous procedure....they aren't going to sedate me?! Oh dear.
@kaljean, Oh dear! The last thing I want to do is to scare you!
Usually you will be offered a sedative before an awake procedure. Has the doctor said whether you will be awake or asleep for the procedure?
@rosemarya Really no instruction. Assuming conscious sedation?
Been so uncomfortable have considered a DIY procedure....ugh.
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1 Reaction@kaljean
I’m checking in and been thinking about you. How did you do with the procedure?
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2 ReactionsSo they said meds like a colonoscopy, but I was completely awake and aware. It felt weird. The fire alarm in the hospital went off with flashing lines, during the procedure and the doc was snarky.
My digestive system is settling down and most symptoms relieved.
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2 Reactions@rosemarya
💯 percent better these days! Have been enjoying walking and moving and eating and feeling generally well.
So grateful for this group and support.
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