Bile leak post laparoscopic cholecystectomy
Abdominal distension weeks following laparoscopic cholecystectomy.
CT Intravenous cholangiogram
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Cholecystectomy with clips in the right upper quadrant. The biliary tree opacifies with contrast (Biliscopin) without dilatation. Extensive intra-abdominal fluid is present with pooling of contrast near the porta hepatis in keeping with a bile leak (confirmed).
Although CT intravenous cholangiograms are no longer commonly performed (at least not in most institutions) the ability to demonstrate positive contrast excreted in bile does have some uses.