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Diagnosis and Treatment of Intrahepatic Biloma Complicating Radiofrequency Ablation of Hepatic Metastases

Sridhar Shankar1,2, Eric vanSonnenberg1,2, Stuart G. Silverman1,2, Kemal Tuncali1,2 and Paul R. Morrison1

1 Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115.
2 Department of Radiology, Dana-Farber Cancer Institute, 44 Binney St., Boston, MA 02115.



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  		Fig. 1A. —54-year-old man with gastrointestinal stromal tumor, metastatic to liver. T2-weighted coronal MR image after radiofrequency ablation shows bright fluid collection and mural nodule.

 


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  		Fig. 1B. —54-year-old man with gastrointestinal stromal tumor, metastatic to liver. Contrast-enhanced CT image obtained in supine position shows partially drained collection with catheter in place (straight arrow). Anterior low-density lesion represents another ablated tumor (curved arrow). Note chronic left pleural collection.

 


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  		Fig. 1C. —54-year-old man with gastrointestinal stromal tumor, metastatic to liver. ERCP scan shows intracavitary leak (arrow) from left main duct. Percutaneous biloma drainage catheter is seen laterally.

 


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  		Fig. 1D. —54-year-old man with gastrointestinal stromal tumor, metastatic to liver. Coronal positron emission tomography scan obtained 4 months after biloma drainage shows no evidence of tumor (arrow).

 

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