Dupas J L, Mancheron H, Sevenet F, Delamarre J, Delcenserie R, Capron J P
Service d'Hépatogastroentérologie, Centre Hospitalier Universitaire Nord, Amiens, France.
Gastroenterology. 1988 May;94(5 Pt 1):1225-7.
Development of an intraabdominal bile collection (biloma) usually occurs secondary to traumatic or iatrogenic injury including abdominal surgery, percutaneous catheter drainage, and transhepatic cholangiogram. We present a case of hepatic subcapsular biloma following endoscopic retrograde cholangiography and identified by ultrasound and computed tomodensitometry examinations. A percutaneous drainage procedure allowed a subsequent endoscopic retrograde cholangiopancreatography to be performed that documented the location and extent of the bile leak and led to resolution of the biloma.
腹腔胆汁积聚（胆汁瘤）的形成通常继发于创伤性或医源性损伤，包括腹部手术、经皮导管引流和经肝胆管造影。我们报告一例内镜逆行胆管造影术后肝包膜下胆汁瘤病例，通过超声和计算机断层扫描检查确诊。经皮引流术使随后的内镜逆行胰胆管造影得以进行，该检查记录了胆汁漏的位置和范围，并使胆汁瘤得以消退。
