[A biliary fistula after T-tube removal in the transplant patient: its diagnosis by Tc-99m-HIDA].
The Tc-99m HIDA scan is a valuable study after liver transplantation, associated with other image techniques. We have used this technique as a reliable and objective diagnostic method for biliary fistula after removal of the T-tube in 5 liver transplantation patients with pain after T-tube removal. All five patients who developed fistula not only were diagnosed immediately but, furthermore, the surgical technique was indicated by the gammagraphic study. After this experience, we propose to remove the T-tube during the Tc-99 HIDA scan.
Calleja Kempin
I J
IJ
Hospital General Gregorio Marañón, Madrid.
Polo Melero
J R
JR
Bitini
A
A
Domínguez
P
P
Clemente
G
G
García Sabrido
J L
JL
Bañares
R
R
Pérez Ferreiroa
J
J
Serantes
A
A
D001658:Biliary Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D004322:Drainage / Q000009:adverse effects / Q000295:instrumentation*; D015902:Gamma Cameras; D006801:Humans; D007098:Imino Acids; D016031:Liver Transplantation / Q000000981:diagnostic imaging*; D015609:Organotechnetium Compounds; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D011877:Radionuclide Imaging; D019780:Technetium Tc 99m Lidofenin
D007098:Imino Acids; D015609:Organotechnetium Compounds; D019780:Technetium Tc 99m Lidofenin
Fístula biliar tras la retirada del tubo en T, en el paciente trasplantado: diagnóstico mediante HIDA Tc-99m.