Peritoneal bile granuloma formation at the site of caesarean surgical scar

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.