PMC3015279_01
Postoperative computed tomographic scan of the abdomen demonstrates a fluid collection on the right side of the liver. Note the dilatation of the stomach due to gastric outlet obstruction.
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F1
Computed tomography (CT) of the abdomen and pelvis showed a large fluid filled structure along the dome of the liver, consistent with a subcapsular fluid collection (Figure 1).
Upper gastrointestinal series image reveals slow passage of contrast through the pylorus, consis-tent with a gastric outlet obstruction caused by inferior displacement of the liver secondary to a biloma.
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F2
Further management included an upper gastrointestinal series that revealed extrinsic compression of the proximal duodenum, creating a partial gastric outlet obstruction (Figure 2).
Postoperative HIDA scan demonstrates a bile leak in the region of the gallbladder fossa.
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F3
A hepatobiliary iminodiacetic acid (HIDA) scan obtained one day after the CT guided drainage concluded that there was a bile leak in the region of the gallbladder fossa (Figure 3).
ERCP shows a small leak from an accessory hepatic duct (arrow). During this procedure, a stent was placed in the common bile duct.
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F4
It revealed a leak from a small branch of the right hepatic duct (Figure 4).