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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.


Multiple images from a hepatobiliary scan demonstrates a large, focal intense uptake in the right mid hepatic lobe which does not clear over time, consistent with a biloma.  Superior to this is a photopenic defect probably representing a hematoma. Biliary obstruction was ruled-out on subsequent delayed images.
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MPX2423_synpic20204: Multiple images from a hepatobiliary scan demonstrates a large, focal intense uptake in the right mid hepatic lobe which does not clear over time, consistent with a biloma. Superior to this is a photopenic defect probably representing a hematoma. Biliary obstruction was ruled-out on subsequent delayed images.


Hepatic laceration with biloma.

Herzog LBH - MedPix

Multiple images from a hepatobiliary scan demonstrates a large, focal intense uptake in the right mid hepatic lobe which does not clear over time, consistent with a biloma.  Superior to this is a photopenic defect probably representing a hematoma. Biliary obstruction was ruled-out on subsequent delayed images.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2423_synpic20204: Multiple images from a hepatobiliary scan demonstrates a large, focal intense uptake in the right mid hepatic lobe which does not clear over time, consistent with a biloma. Superior to this is a photopenic defect probably representing a hematoma. Biliary obstruction was ruled-out on subsequent delayed images.

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.