Biliohematoma subcapsular hepático: complicación infrecuente tras colecistectomía laparoscópica

espanolPresentamos el caso de un varon de 42 anos, sometido a colecistectomia laparoscopica sin incidencias por colico biliar. Presentado como complicacion inmediata un bilioma subcapsular hepatico, que fue manejado conservadoramente. Se detallan las caracteristicas imagenes del TAC abdominal (de eleccion en el diagnostico de esta patologia), asi como las de la colangioresonancia, que juega un papel importante para descartar y/o caracterizar una posible lesion asociada de la via biliar. Su tratamiento de eleccion sigue siendo hoy en dia controvertido, pero en nuestro caso, gracias a la indemnidad de la via biliar, se pudo resolver de forma exitosa mediante drenajes percutaneos sucesivos. EnglishWe report the case of a 42 year-old man who underwent an uneventful laparoscopic cholecystectomy due to a biliary colic. The patient suffered a hepatic subcapsular biloma as an immediate complication, which was managed conservatively. We describe the characteristics of the images from the abdominal CT scan (technique of choice in the diagnosis of this disease) as well as those from the magnetic resonance cholangiography, which plays an important role to rule out and/or describe the features of a possible associated lesion of the bile duct. The treatment of choice remains being controversial today, but in our case, thanks to the indemnity of the bile duct, this case could be solved successfully by successive percutaneous drainage.