|Patient: 55 year old male|
|History: An ultrasound is requested on a 55 year old male post liver transplant to evaluate the hepatic artery flow. In a previous ultrasound performed the hepatic artery was not patent. The patient presented with no pertinent symptoms.|
|Findings: Upon examination, it was noted that the liver appeared slightly hyperechoic. A moderate right pleural effusion was present as well as a small amount of ascites that contained low level echoes in the right lower quadrant. On a color Doppler study, the portal vein, hepatic artery, and hepatic veins had flow in the normal direction. In addition, an oval shaped, almost anechoic fluid collection measuring 3 x 1 x 1.5 cm was visualized in the right lobe of the liver.|
|Diagnosis: Findings suggested that the subscapular fluid collection seen in the right lobe of the liver is consistant with a biloma.|
| Discussion: |
A biloma is an encapsulated collection of bile in the peritoneal cavity. They can result from a bile duct disruption or some sort of hepatic trauma.
| References: |
Amersham Health "Biloma". Online. 03 March 2005. http://www.amershamhealth.com/medcyclopedia/volume%201v%201/BILOMA.ASP
| Comments: |
No comments posted.
| Additional Details:|
Case Number: 1507269Last Updated: 04-27-2005 The reader is fully responsible for confirming the accuracy of this content.
The reader is fully responsible for confirming the accuracy of this content.