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Ultrasound and CT are highly sensitive for detecting BDA insufficiency and rely on the following findings: free fluid in the right upper quadrant adjacent to the BDA, identification of variable amounts of free air adjacent to the BDA and pneumobilia in non-dilated intrahepatic biliary ducts (figure 1).
CT demonstrating signs of BDA insufficiency (perihepatic collection, the presence of pneumobilia in the left liver lobe and a small amount of free intraperitoneal air). BDA, biliodigestive anastomosis.
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