Post-traumatic biloma intrahepatic a rare complication of closed abdominal trauma: A case report
Daouda Diarra1, Siham Salam1, Abdoulfatihi Salihou1
1Department of Pediatric Radiology, CHU Ibn Rochd, Faculty of Medicine and Pharmacy of Casablanca, Hassan II University,1, Rue des Hôpitaux, Casablanca, Mo…, Casablanca, 20250, Morocco.
Insights
Post-traumatic hepatic biloma, a rare complication of abdominal trauma, requires prompt diagnosis. Imaging is crucial for identifying these intrahepatic cystic formations and guiding treatment.
Area of Science:
- Hepatobiliary Surgery
- Pediatric Traumatology
- Diagnostic Imaging
Background:
- Post-traumatic hepatic biloma is a rare but serious complication following abdominal trauma.
- Bilomas can arise spontaneously or secondary to biliary system injuries, leading to significant morbidity.
Observation:
- A 4-year-old child presented with abdominal pain after a traffic accident, suspected closed abdominal trauma.
- Initial CT scan revealed hepatic laceration; follow-up imaging demonstrated intrahepatic cystic formations.
Findings:
- Diagnosis of post-traumatic hepatic biloma was confirmed through serial imaging.
- The case highlights the development of intrahepatic cystic formations post-trauma.
Implications:
- Emphasizes the critical role of diagnostic imaging modalities such as ultrasound, CT, MRI, MRCP, and hepatobiliary scintigraphy.
- Accurate diagnosis and appropriate imaging are essential for effective management of post-traumatic hepatic biloma.
- Highlights the need for vigilance in pediatric trauma cases with potential biliary complications.
Abstract:
Post-traumatic hepatic biloma is a rare complication of closed trauma of the abdomen. Generally, biloma occurs spontaneously or secondary to traumatic or iatrogenic injury to the biliary system. It can lead to significant morbidity and mortality if not diagnosed promptly and properly managed. A 4-year-old child was admitted to the emergency room with abdominal pain following a traffic accident. Clinical examinations suspected closed abdominal trauma without biological signs of icteric cholestasis. Abdominal CT scan performed within 24 hours showed a focus of hepatic laceration, and follow-up imaging at 5 days showed post-traumatic intrahepatic cystic formations. This case report aims to emphasize the importance of imaging including ultrasound, CT, MRI, MRI cholangiopancreatography (MRCP), or hepatobiliary cholescintigraphy to establish the diagnosis and guide the therapeutic gestures.
