Unique scintigraphic findings of bile extravasation in the presence of ascites: a complication of hepatic transplantation.
A 99mTc-HIDA scan was performed on a 4-mo-old female, six days after hepatic transplantation. Gradually, a diffuse increase in activity was seen over the peritoneal region, consistent with a slow bile leak into ascitic fluid. Although the scintigraphic appearance of a bile leak has been previously described, it is usually seen as a focal area of extrabiliary activity. In this case, we report a pattern identified when the leak occurs in conjunction with ascites.
Sandler
E D
ED
Department of Radiology, University of California Medical Center, San Francisco.
Parisi
M T
MT
Shields
A T
AT
Hattner
R S
RS
D000714:Anastomosis, Surgical / Q000009:adverse effects; D001065:Appendix / Q000637:transplantation*; D001201:Ascites / Q000000981:diagnostic imaging*; D001646:Bile; D001656:Biliary Atresia / Q000601:surgery*; D003135:Common Bile Duct / Q000601:surgery*; D005260:Female; D006801:Humans; D007098:Imino Acids; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects*; D015609:Organotechnetium Compounds; D011877:Radionuclide Imaging; D019780:Technetium Tc 99m Lidofenin
D007098:Imino Acids; D015609:Organotechnetium Compounds; D019780:Technetium Tc 99m Lidofenin