PMC9035947_01
Abdominal CT scan showing a large biloma: Abdominal axial nonenhanced CT scan image showing a large peri-duodenal liquid collection, measuring: 137 x 15 cm (yellow star). Gb, gallbladder; D, duodenum.
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F1
We performed an abdominal CT scan (shown in Fig. 1), revealing a large peri-duodenal collection (13 x 7 x 15 cm), to which a percutaneous scan-guided drainage was successfully made.
Photograph of the purulent biliary fluid obtained after the drainage.
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F2
The drainage depleted approximately 2 L of a purulent biliary fluid (shown in Fig. 2) after 3 days.
Photograph of the sample sent for analysis in the laboratory of bacteriology.
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F3
The bacteriological analysis results revealed a sterile liquid (shown in Fig. 3) as the patient was under antibiotics, whereas the chemical analysis was positive for bile pigment and bile salts.