Case 13: Biloma

Diagnostic Category:

Clinical Presentation:

53 year old man with early postoperative elevation of transaminases following orthotopic liver transplantation.

CT: Extrahepatic

Imaging Findings:

CT shows large extrahepatic biloma forming due to a biliary leak, Note the smooth contours of the biloma causing mass effect on the adjacent structures such as liver contour and IVC, which discriminates it from smaller seromas or hematomas. Note also large thrombus in the piggyback pouch anterior to the IVC (arrows).