Gray Scale Ultrasonography of a Traumatic Biliary Cyst

Ralls, Philip W.; Eto, Ross T.; Quinn, Michael; Boger, Donald

doi:10.1097/00005373-198102000-00017

Cited by 10 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A definite diagnosis can be made by a 99mTc-DISIDA scan, percutaneous aspiration or by ERCP 1 , 2) . Abdominal ultrasonography shows a mass of low echogenicity with a clear border in the liver, and the follow up tests show changes in size 16) . The abdominal CT will give a more accurate view of the location of the biloma and show its relationship to the surrounding organs.…”

Section: Discussionmentioning

confidence: 99%

A Case of Infected Biloma due to Spontaneous Intrahepatic Biliary Rupture

Lee

Suh

2007

Korean J Intern Med

View full text Add to dashboard Cite

A "biloma" is a loculated collection of bile located outside of the biliary tree. It can be caused by traumatic, iatrogenic or spontaneous rupture of the biliary tree. Prior reports have documented an association of biloma with abdominal trauma, surgery and other primary causes, but spontaneous bile leakage has rarely been reported. A spontaneous infected biloma, without any underlying disease, is a very rare finding. We recently diagnosed a spontaneous infected biloma by abdominal computed tomography and sonographically guided percutaneous aspiration. The patient was successfully managed with percutaneous drainage and intravenous antibiotics. We report here a case of infected biloma caused by spontaneous rupture of the intrahepatic duct, and review the relevant medical literature.

show abstract

Section: Discussionmentioning

confidence: 99%

A Case of Infected Biloma due to Spontaneous Intrahepatic Biliary Rupture

Lee

Suh

2007

Korean J Intern Med

View full text Add to dashboard Cite

show abstract

“…In our patient obstructive cholangitis and a painful growing abdominal mass were the leading symptoms. Biloma may be diagnosed by US 6,14,17,18. Other diagnostic procedures may also be useful as for example hepatic scintigraphy (HIDA) 11,19,20 (CT-scan) 21,22 Treatment may be operative or non-operative. Vujic and Brock 1981 23 reported non-operative treatment with percutaneous, ultrasonic or CT guided aspiration of biloma.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Biloma Secondary to Operative Common Bile Duct Injury

Colović

Perisić-Savić

1991

HPB Surgery

View full text Add to dashboard Cite

Encapsulated collections of bile ("biloma") may be a sequela of liver trauma, operative injury or disease. Such collections may be intrahepatic or extrahepatic and usually in the supramesocolic compartment of the abdomen. This is a report of a retroperitoneal biloma, an entity that has been reported only twice to date but this is the first secondary to an operative common bile duct lesion.Evacuation of the biloma and reconstruction of the associated biliary stricture were successfully carried out. The patient remains sympton free with normal clinical and laboratory data more than 14 months after surgery.Operative common bile duct (CBD) injury may be followed by a number of complications. To our knowledge retroperitoneal biloma secondary to a CBD lesion has not been previously reported. CASE REPORTA 54 year old lady was submitted to elective cholecystectomy in a district hospital on 15/09/1988. Operative cholangiography was not performed. Soon after operation bile drainage through a subhepatic drain appeared and continued for four weeks. The patient subsequently developed bile peritonitis and was reoperated upon on 21/10/1988 and the abdominal cavity was drained. Bile drainage stopped by mid-January 1989 but was followed by jaundice. A third operation was performed on 23/02/89 for obstructive jaundice. The CBD could not be found and the abdomen was closed with drainage. In March 1989 percutaneous transhepatic cholangiography (PTC) was carried out clearly demonstrating a high CBD stricture. The procedure was followed by frequent attacks of severe cholangitis with a temperature of up to 40C.. Once while vomiting she felt "that something broke in the abdomen". After this episode the fever abated somewhat and the attacks of cholangitis became less severe. However, a painful enlarging right lower quadrant abdominal mass appeared.At the time of admission to our Institution on 31/03/1989 she was deeply jaundicied with a large tender right lower abdominal mass. Laboratory data indicated biliary obstruction (total serum bilirubin 302.5 mmol/l, serum alkaline phosphatase 6.9 U/I (normal value 1 to 2.5 U/l).

show abstract

The ultrasound appearance of an arterio‐biliary fistula

Greenberg

Rubin

Crass

1983

J of Clinical Ultrasound

View full text Add to dashboard Cite

The ultrasound finding of a focal, anechoic lesion in the liver has an extensive differential diagnosis which includes simple cysts, infectious cysts, tumors, abscesses, and hematomas.' -3 We now wish to report a case of an arterio-biliary fistula that presented with a similar appearance. Though the ultrasound appearance of a posttraumatic biliary cyst has been r e p~r t e d ,~ we could find no other case in the English literature in which an arterial communication was present which was responsible for hemobilia. CASE REPORTAn 80-year-old male was admitted with the chief complaint of recurrent gastrointestinal bleeding. Thirty-five years previously, the patient had undergone a cholecystectomy and a vitalium Y tube was placed into his intrahepatic biliary tree for the treatment of a bile duct stricture. The patient did well until 6 months prior to the present admission when he developed recurrent common bile duct stones along with ascending cholangitis. The vitalium tube was removed surgically and the postoperative course was uneventful. One month prior to the present admission he developed persistent melena. A superior mesenteric and inferior mesenteric angiogram failed to reveal a bleeding site. A partial colectomy was performed to remove multiple polyps thought responsible for the bleeding. However, 1 week after surgery the patient developed another episode of melena. A nasogastric aspirate revealed coffee ground material. Therefore, a celiac angiogram was performed which demonstrated an aneurysm originating from the left hepatic artery (Fig. 1). The presumptive diagnosis was that of an arteriobiliary fistula. A real-time ultrasound examination revealed a 3-cm nonpulsatile anechoic lesion in the left lobe of the liver (Fig. 2). Surrounding this lesion were small branching tubular structures that were thought to represent either crowded biliary ducts or branching vessels. These findings were consistent with the preceding diagnosis. Because of spiking temperatures, surgery was performed and a mycotic pseudoaneurysm was resected.

show abstract

Gray Scale Ultrasonography of a Traumatic Biliary Cyst

Cited by 10 publications

References 0 publications

A Case of Infected Biloma due to Spontaneous Intrahepatic Biliary Rupture

A Case of Infected Biloma due to Spontaneous Intrahepatic Biliary Rupture

Retroperitoneal Biloma Secondary to Operative Common Bile Duct Injury

The ultrasound appearance of an arterio‐biliary fistula

Contact Info

Product

Resources

About