Cholescintigraphic detection of biliary leaks.
We report four cases in whom post-traumatic or post-surgical biliary leak was detected using dynamic 99mtechnetium-iminodiacetic acid (IDA) cholescintigraphy. This technique is a non-invasive, safe, simple and sensitive method of documenting the presence, location and extent of biliary leaks. Further, it can be repeated and hence, is useful in evaluating the response to treatment. Surgery is indicated when a moderate extravasation of labeled bile suggests that the leak is the chief pathway of bile drainage, with relatively little bile entering the intestine.
Shikare
S
S
Department of Nuclear Medicine, Seth G S Medical College, Parel, Bombay.
Supe
A
A
Tilwe
G H
GH
Shah
H K
HK
Mathur
S K
SK
Samsi
A B
AB
D000328:Adult; D001652:Bile Ducts / Q000293:injuries; D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging*; D002763:Cholecystectomy / Q000009:adverse effects*; D006801:Humans; D007098:Imino Acids; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D015609:Organotechnetium Compounds; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging
D007098:Imino Acids; D015609:Organotechnetium Compounds; C046767:technetium Tc 99m iminodiacetic acid