title: Cholescintigraphic detection of biliary leaks.
abstract: 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.
authors.affiliation: Department of Nuclear Medicine, Seth G S Medical College, Parel, Bombay.
authors.forename: S
authors.initials: S
authors.lastname: Shikare
authors.forename: A
authors.initials: A
authors.lastname: Supe
authors.forename: G H
authors.initials: GH
authors.lastname: Tilwe
authors.forename: H K
authors.initials: HK
authors.lastname: Shah
authors.forename: S K
authors.initials: SK
authors.lastname: Mathur
authors.forename: A B
authors.initials: AB
authors.lastname: Samsi
mesh_terms: 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
chemical_list: D007098:Imino Acids; D015609:Organotechnetium Compounds; C046767:technetium Tc 99m iminodiacetic acid