Case Report


Peritoneal bile granuloma formation at the site of caesarean surgical scar

,  ,  

1 Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, USA

2 Department of Pathology, University of Rochester Medical Center, Rochester, NY, USA

3 Trillium Health, Rochester, NY, USA

Address correspondence to:

Lila Marshall

MD, University of Rochester Medical Center, 601 Elmwood Ave, Box #668, Rochester, NY 14642,

USA

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Article ID: 100176Z08LM2024

doi: 10.5348/100176Z08LM2024CR

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How to cite this article

Marshall L, Varghese S, Ciranni-Callon M. Peritoneal bile granuloma formation at the site of caesarean surgical scar. J Case Rep Images Obstet Gynecol 2024;10(2):6–10.

ABSTRACT


Bile granuloma is a rare complication associated with cholecystectomy about which few case reports have been written. Herein we present the case of a patient who underwent laparoscopic bilateral salpingectomy for the purpose of sterilization and was incidentally found to have a linear collection of bile granulomas along the site of adhesions from her cesarean section. We also present a review of case reports on bile granuloma that have presented in OB/GYN and suggest that this rare pathology should be cited as a differential more often when considering intra-abdominal pathology, particularly for pelvic surgeons. We argue that this condition is likely more common than previously thought and suggest that without further research into this topic, routine biopsy or removal of encountered lesions may not always be necessary in patients at low likelihood for having a malignant pathology.

Keywords: Bile granuloma, Cesarean scar, Endometriosis

SUPPORTING INFORMATION


Author Contributions

Lila Marshall - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sharlin Varghese - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Mary Ciranni-Callon - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Lila Marshall et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.