Evaluation and treatment of intraabdominal bilomas

Journal Article · Wed May 01 04:00:00 EDT 1985 · AJR, Am. J. Roentgenol.; (United States)

DOI:https://doi.org/10.2214/ajr.144.5.933· OSTI ID:5654774

Vazquez, J L; Thorsen, M K; Dodds, W J; Quiroz, F A; Martinez, M L; Lawson, T L; Stewart, E T; Foley, W D

In a 3-year period, 21 intraabdominal bilomas developed in 18 patients. Fifteen of the patients had a solitary biloma, and the other 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. 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. 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.

• Research Organization: Instituto Nacional de la Nutricion, Salvador Zubiran, Mexico City, Mexico
• OSTI ID: 5654774
• Journal Information: AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 144:5; ISSN AAJRD
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
ABDOMEN
BILE
BILIARY TRACT
BIOLOGICAL MATERIALS
BODY
BODY AREAS
BODY FLUIDS
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
GLANDS
LIVER
MATERIALS
MEDICINE
NEOPLASMS
ORGANS
PATIENTS
SURGERY
TOMOGRAPHY
ULTRASONOGRAPHY