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Hepatic laceration with biloma.

Herzog LBH - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Hepatic laceration with biloma.

History: 29 y/o male s/p liver laceration with repair three weeks ago.

Findings: Findings include a fluid density on CT within the right upper quadrant adjacent to the liver. Loculations and septations may be present as well. An adjacent hepatic parenchymal defect is often present. As they mature, bilomas usually appear round with a thin surrounding capsule. Free intra-peritoneal fluid collections can indicate biloma rupture. Only biliary scintigraphy, can definitively demonstrate a communication between the biliary tree and the biloma contents.

Ddx: Biloma, hematoma, seroma, abscess

Dxhow: Biliary scintigraphy.

No MeSH data available.


Helical axial CT with or and IV contrast demonstrates an irregular defect within the right lobe of the liver extending peripherally consistent with a post-traumatic liver laceration.  Associated fluid density is seen without extravasation of neither intravenous contrast material nor large space occupying lesion compression the right lobe.  A hematoma versus biloma was on the differential.
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MPX2423_synpic20202: Helical axial CT with or and IV contrast demonstrates an irregular defect within the right lobe of the liver extending peripherally consistent with a post-traumatic liver laceration. Associated fluid density is seen without extravasation of neither intravenous contrast material nor large space occupying lesion compression the right lobe. A hematoma versus biloma was on the differential.


Hepatic laceration with biloma.

Herzog LBH - MedPix

Helical axial CT with or and IV contrast demonstrates an irregular defect within the right lobe of the liver extending peripherally consistent with a post-traumatic liver laceration.  Associated fluid density is seen without extravasation of neither intravenous contrast material nor large space occupying lesion compression the right lobe.  A hematoma versus biloma was on the differential.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2423&req=5

MPX2423_synpic20202: Helical axial CT with or and IV contrast demonstrates an irregular defect within the right lobe of the liver extending peripherally consistent with a post-traumatic liver laceration. Associated fluid density is seen without extravasation of neither intravenous contrast material nor large space occupying lesion compression the right lobe. A hematoma versus biloma was on the differential.

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Hepatic laceration with biloma.

History: 29 y/o male s/p liver laceration with repair three weeks ago.

Findings: Findings include a fluid density on CT within the right upper quadrant adjacent to the liver. Loculations and septations may be present as well. An adjacent hepatic parenchymal defect is often present. As they mature, bilomas usually appear round with a thin surrounding capsule. Free intra-peritoneal fluid collections can indicate biloma rupture. Only biliary scintigraphy, can definitively demonstrate a communication between the biliary tree and the biloma contents.

Ddx: Biloma, hematoma, seroma, abscess

Dxhow: Biliary scintigraphy.

No MeSH data available.