Usefulness of contrast-enhanced ultrasound in the diagnosis of biliary leakage following T-tube removal.
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.
Mao
Ren
R
Department of Medical Ultrasonics, Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, China.
Xu
Er-Jiao
EJ
Li
Kai
K
Zheng
Rong-Qin
RQ
D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000601:surgery; D003137:Common Bile Duct Diseases / Q000000981:diagnostic imaging*; D003287:Contrast Media; D020878:Device Removal / Q000009:adverse effects*; D003937:Diagnosis, Differential; D004322:Drainage / Q000295:instrumentation*; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D008297:Male; D045423:Microbubbles; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D013459:Sulfur Hexafluoride; D014463:Ultrasonography
D003287:Contrast Media; D013459:Sulfur Hexafluoride