case_images: PMC3023755_01
case_images: Initial abdominal CT demonstrating a large right hepatic subcapsular collection.
case_images: 1752-1947-5-3-1.jpg
case_images: PMC3023755_01_1752-1947-5-3-1.jpg
case_images: F1
case_images: A repeat CT revealed a large right hepatic subcapsular collection with a size of 18.9 cm (Figure 1).
case_images: Abdominal MRI showing CBD stones.
case_images: 1752-1947-5-3-2.jpg
case_images: PMC3023755_01_1752-1947-5-3-2.jpg
case_images: F2
case_images: Abdominal magnetic resonance imaging (MRI) demonstrated multiple common bile duct (CBD) stones with an enlarged biliary tree, and a large subcapsular fluid collection extending around the lower margin of his right hepatic lobe (Figure 2) without any direct communication with the biliary system.
case_images: The ERCP findings reveal relation of the biloma with the intrahepatic biliary tree.
case_images: 1752-1947-5-3-3.jpg
case_images: PMC3023755_01_1752-1947-5-3-3.jpg
case_images: F3
case_images: It showed extravasation of contrast material from a distal biliary radicle in his right hepatic lobe and communication with the biloma (Figure 3).
case_images: Abdominal CT showing complete resolution of the biloma after management.
case_images: 1752-1947-5-3-4.jpg
case_images: PMC3023755_01_1752-1947-5-3-4.jpg
case_images: F4
case_images: CBD was removed two months after his discharge. Control CT scans taken two months (Figure 4) and one year after discharge were normal.