Year 2025 / Volume 117 / Number 12
Letter
Active biloma and the use of hepatobiliary specific magnetic resonance contrast agent

783-784

DOI: 10.17235/reed.2024.10792/2024

João Vieira, Inês Allen Martinho, Ana Catarina Vieira, Alberto Vieira,

Abstract
We present a case of a woman in her 70s, with right upper quadrant pain and jaundice, who underwent laparoscopic cholecystectomy 14 days, previously. The ultrasound and computer tomography scan revealed a fluid lesion in the gallbladder fossa with intrahepatic extension. At this point a wide differential diagnosis was possible. In order to reach a definitive diagnosis, a magnetic resonance imaging exam with a biliary excretion contrast agent - gadoxetate disodium (hepatobiliary specific paramagnetic gadolinium-based contrast) was obtained, which showed a lesion with delayed, but important contrast enhancement, 4 hours after contrast injection, demonstrating leaking of bile reaching the final diagnosis of biloma. Our patient was successfully treated with ultrasound-guided percutaneous drainage.
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References
1. Seale MK, Catalano OA, Saini S, Hahn PF, Sahani DV. Hepatobiliary-specific MR contrast agents: role in imaging the liver and biliary tree. Radiographics. 2009;29(6):1725-48.
2. Copelan A, Bahoura L, Tardy F, Kirsch M, Sokhandon F, Kapoor B. Etiology, Diagnosis, and Management of Bilomas: A Current Update. Tech Vasc Interv Radiol. 2015;18(4):236-43.
3. Nikpour AM, Knebel RJ, Cheng D. Diagnosis and Management of Postoperative Biliary Leaks. Semin Intervent Radiol. 2016;33(4):307-12.
4. Dell AJ, Krige JE, Jonas E, Thomson SR, Beningfield SJ, Kotze UK, et al. Incidence and management of postoperative bile leaks: A prospective cohort analysis of 467 liver resections. S Afr J Surg. 2016;54(3):18-22.
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Vieira J, Martinho I, Vieira A, Vieira A. Active biloma and the use of hepatobiliary specific magnetic resonance contrast agent. 10792/2024


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Publication history

Received: 12/09/2024

Accepted: 17/09/2024

Online First: 04/10/2024

Published: 12/12/2025

Article Online First time: 22 days

Article editing time: 456 days


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