Esensten M, Ralls P W, Colletti P, Halls J
AJR Am J Roentgenol. 1983 Feb;140(2):303-5. doi: 10.2214/ajr.140.2.303.
Posttraumatic intrahepatic biliary cysts or bilomas were once thought to be rare. With increased use of sonography and 99mTc-HIDA cholescintigraphy, this entity will probably be detected more often. Preoperative sonographic diagnosis of posttraumatic biloma was made in five patients. A well circumscribed, anechoic hepatic lesion with excellent distal sonic enhancement strongly suggests the diagnosis. Cholescintigraphy especially using delayed scans or percutaneous aspiration, can confirm the diagnosis.
创伤后肝内胆管囊肿或胆汁瘤曾被认为很罕见。随着超声检查和99mTc-HIDA胆管闪烁显像的使用增加,这种病变可能会被更频繁地检测到。五例患者术前通过超声诊断为创伤后胆汁瘤。边界清晰的无回声肝内病变伴有良好的远场回声增强强烈提示该诊断。胆管闪烁显像,特别是使用延迟扫描或经皮抽吸,可确诊。