Imaging of Postoperative Biliary Complications

Purpose of ReviewOver the past several decades, the number of hepatobiliary surgeries performed has increased, with laparoscopic cholecystectomy now the most frequently performed abdominal surgery in the United States. Due to the increase in surgeries performed, medicolegal concerns, and the availability of different types of imaging, radiologists are increasingly requested to evaluate for complications following hepatobiliary surgery.Recent FindingsEarly radiologic identification and assessment of the extent of biliary injuries allows prompt diagnosis and management of postoperative biliary complications. A wide variety of imaging modalities can be utilized, including computed tomography, nuclear medicine, and magnetic resonance imaging.SummaryThis article provides a review of the broad spectrum of biliary injuries following hepatobiliary surgery, with an emphasis on postcholecystectomy imaging findings.