PMC3023755_01
Initial abdominal CT demonstrating a large right hepatic subcapsular collection.
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F1
A repeat CT revealed a large right hepatic subcapsular collection with a size of 18.9 cm (Figure 1).
Abdominal MRI showing CBD stones.
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F2
Abdominal magnetic resonance imaging (MRI) demonstrated multiple common bile duct (CBD) stones with an enlarged biliary tree, and a large subcapsular fluid collection extending around the lower margin of his right hepatic lobe (Figure 2) without any direct communication with the biliary system.
The ERCP findings reveal relation of the biloma with the intrahepatic biliary tree.
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F3
It showed extravasation of contrast material from a distal biliary radicle in his right hepatic lobe and communication with the biloma (Figure 3).
Abdominal CT showing complete resolution of the biloma after management.
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F4
CBD was removed two months after his discharge. Control CT scans taken two months (Figure 4) and one year after discharge were normal.