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World J Radiol. May 28, 2013; 5(5): 220-225
Published online May 28, 2013. doi: 10.4329/wjr.v5.i5.220
Published online May 28, 2013. doi: 10.4329/wjr.v5.i5.220
Sonographic assessment of a suspected biloma: A case report and review of the literature
Claudio Tana, Patrizio D’Alessandro, Cosima Schiavone, Unit of Internistic Ultrasound, “G. d’Annunzio” University, 66013 Chieti Scalo (CH), Italy
Claudio Tana, Marco Tana, Andrea Mezzetti, Cosima Schiavone, Department of Medicine and Science of Aging, “G. d’Annunzio” University, 66013 Chieti Scalo (CH), Italy
Armando Tartaro, Department of Neurosciences and Imaging, “G. d’Annunzio” University, 66013 Chieti Scalo (CH), Italy
Author contributions: All authors made substantial contributions to conception and design of the manuscript, they were involved in drafting the article and revising it critically for important intellectual content,and gave final approval of the version to be published.
Correspondence to: Cosima Schiavone, Professor, Department of Medicine and Science of Aging, “G. d’Annunzio” University, Via dei Vestini 29, 66013 Chieti Scalo (CH), Italy. cschiavone@unich.it
Telephone: +39-871-358576 Fax: +39-871-358969
Received: March 12, 2013
Revised: April 11, 2013
Accepted: May 16, 2013
Published online: May 28, 2013
Revised: April 11, 2013
Accepted: May 16, 2013
Published online: May 28, 2013
Core Tip
Core tip: We report the case of a patient with a history of previous cholecystectomy for lithiasis who presented with a clinical picture suggestive of acute pancreatitis. Imaging studies revealed the presence of an asymptomatic biloma, which could be mistaken for a pseudocyst. We therefore reviewed the literature, focusing on the role of ultrasonography, which can reveal some typical aspects, such as location and imaging features. We conclude that ultrasound plays a key role in the assessment of a suspected biloma in patients with appropriate history and clinical features and provides valuable diagnostic clues even in the absence of these.