PMC6252177_01
The axial CT image shows a collection consistent with a bilioma on the cross-sectional surface of the remnant liver
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F1
An abdominal contrast-enhanced computed tomography (CT) performed for post-operative fever and leukocytosis revealed a collection consistent with a bilioma in a location close to the liver cut surface (Fig 1).
The coronal CT cross-section demonstrates massive subcutaneous emphysema, pneumoperitoneum and pneumoretroperitoneum
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F2
A contrast-enhanced CT showed subcutaneous emphysema, pneumoperitoneum, pneumoretroperitoneum, and pneumoscrotum (Figs 2, 3).
The axial CT image shows pneumoscrotum
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F3
A contrast-enhanced CT showed subcutaneous emphysema, pneumoperitoneum, pneumoretroperitoneum, and pneumoscrotum (Figs 2, 3).
A cholangiogram taken on the 10th post-operative day showing a non-dilated biliary tract and the absence of any biliary leak
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F4
T-tube was put under a pad and the patient was discharged (Fig 4). The T-tube was removed as no leak was observed at six-week control.