Evaluation and treatment of intraabdominal bilomas. AJR Am J Roentgenol 1985 May;144(5):933-8
Date
05/01/1985Pubmed ID
3885693DOI
10.2214/ajr.144.5.933Scopus ID
2-s2.0-0021828951 (requires institutional sign-in at Scopus site) 69 CitationsAbstract
In a 3-year period, 21 intraabdominal bilomas developed in 18 patients. Fifteen of the patients had a solitary biloma, and the other three patients each had two separate concurrent bilomas. The major cause of biloma formation was postoperative bile leakage from a bile duct after laparotomy done primarily for surgery on the gallbladder or liver. Maximal diameter of the bilomas in the transaxial plane ranged from 2 to 19 cm. Sixteen of the bilomas were in the right upper quadrant, and five were in the left upper quadrant. Two large right-sided collections extended caudally into the lower abdomen. The contours of the bilomas were configured by the diaphragm, mesenteries, liver, and other abdominal organs. On CT and sonography, the bilomas were invariably well demarcated, but most did not have an identifiable capsule. CT did demonstrate a thin rim on four bilomas and a thick rim on one. In 19 bile collections, the CT numbers were less than 20 H. The combination of the clinical history, the location, and the CT appearance of the lesion led to the correct diagnosis in each case. Percutaneous drainage was an effective form of therapy that often eliminated the need for surgical drainage.
Author List
Vazquez JL, Thorsen MK, Dodds WJ, Quiroz FA, Martinez ML, Lawson TL, Stewart ET, Foley WDMESH terms used to index this publication - Major topics in bold
AbdomenAdult
Aged
Bile
Biliary Tract Diseases
Drainage
Female
Humans
Male
Middle Aged
Radiography, Abdominal
Retrospective Studies
Tomography, X-Ray Computed
Ultrasonography
