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Usefulness of contrast-enhanced ultrasound in the diagnosis of biliary leakage following T-tube removal

✍ Scribed by Ren Mao; Er-Jiao Xu; Kai Li; Rong-Qin Zheng


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
106 KB
Volume
38
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

Biliary leakage is a serious complication related to T‐tube removal. Identifying the location of the leak is important for accurate diagnosis and prompt treatment. We report a case of biliary leakage in the common bile duct (CBD) following a T‐tube removal that was successfully diagnosed with contrast‐enhanced ultrasound (CEUS). The micro‐bubble contrast medium was administrated into the bile ducts through the percutaneous transhepatic biliary drainage catheter. The real‐time delineation of contrast agent leaking from the CBD was confirmed by percutaneous transhepatic cholangiography. CEUS can be used to detect biliary leakage after T‐tube removal. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound 2010