Biloma: multiple organ failure after laparoscopic cholecystec-tomy

Abstract
Multiple organ failure and septic shock due to a biloma secondary to laparoscopic cholecystectomy (LC) is an infrequent and rare complication of this procedure. We present the case of a patient that presented to the emergency department with septic shock and multiple organ failure after undergoing LC two weeks prior to admission. An abdominal computerized tomography (CT) depicted a large biloma. The patient underwent ultrasound guided percutaneous drainage, with follow up by an endoscopic retrograde cholangiopancreatography and a laparotomy.