Limits...
Biloma, after cholecystectomy

Mittal VKM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: - Leave Blank -

ABSTRACT

Diagnosis: Biloma, after cholecystectomy

History: This 56 y.o. man had a laparoscopic cholecystectomy for acute cholecystitis. Due to significant inflammatory changes, the procedure was converted to an open cholecystectomy. Nine days later, he presents with shortness of breath and abdominal pain.

Findings: • CT scan performed 9 days post cholecystectomy shows subcapsular fluid displacing the liver medially. • Hepatobiliary scan obtained one day after the above CT scan demonstrated progressive accumulation of radiotracer surrounding the right hepatic lobe and the dome of the liver. This corresponds to the large collection seen on the CT scan of the abdomen. The radiotracer flowed through a drain with a subsequent decrease in the activity surrounding the right hepatic lobe and the dome. • ERCP demonstrated extravasation of contrast originating from the cystic duct remnant. The surgical clips did not ligate the cystic duct remnant and is responsible for causing the bile leak.

Ddx: • Hepatic Pseudocyst • Hepatic Subcapsular Hematoma • Biloma (bile collection) • Abscess

Dxhow: ERCP confirmed extravasation of contrast from the cystic duct.

No MeSH data available.


CT shows subcapsular fluid displacing the liver medially.  The underlying liver parenchyma shows no acute disease processes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1275&req=5

MPX1275_synpic54182: CT shows subcapsular fluid displacing the liver medially. The underlying liver parenchyma shows no acute disease processes.


Biloma, after cholecystectomy

Mittal VKM - MedPix

CT shows subcapsular fluid displacing the liver medially.  The underlying liver parenchyma shows no acute disease processes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1275&req=5

MPX1275_synpic54182: CT shows subcapsular fluid displacing the liver medially. The underlying liver parenchyma shows no acute disease processes.

View Article: MedPix Image - MedPix Case

Affiliation: - Leave Blank -

ABSTRACT

Diagnosis: Biloma, after cholecystectomy

History: This 56 y.o. man had a laparoscopic cholecystectomy for acute cholecystitis. Due to significant inflammatory changes, the procedure was converted to an open cholecystectomy. Nine days later, he presents with shortness of breath and abdominal pain.

Findings: • CT scan performed 9 days post cholecystectomy shows subcapsular fluid displacing the liver medially. • Hepatobiliary scan obtained one day after the above CT scan demonstrated progressive accumulation of radiotracer surrounding the right hepatic lobe and the dome of the liver. This corresponds to the large collection seen on the CT scan of the abdomen. The radiotracer flowed through a drain with a subsequent decrease in the activity surrounding the right hepatic lobe and the dome. • ERCP demonstrated extravasation of contrast originating from the cystic duct remnant. The surgical clips did not ligate the cystic duct remnant and is responsible for causing the bile leak.

Ddx: • Hepatic Pseudocyst • Hepatic Subcapsular Hematoma • Biloma (bile collection) • Abscess

Dxhow: ERCP confirmed extravasation of contrast from the cystic duct.

No MeSH data available.