Scintigraphy with 99mTc-HIDA in assessment of the postoperative course after traumatic lesions of the liver and biliary tract.
99mTc-HIDA scintigraphy was used as a diagnostic procedure in five children with liver and biliary tract injuries following blunt abdominal trauma. The method was used in patients after surgical intervention. The children fell into three groups. The first, focal reduction in activity with or without extravasation. The second, normal hepatic parenchymal phase with extravasation. The third, increased focal activity (biloma). We concluded that the use of 99mTc-HIDA scintigraphy supplies important information in the diagnostic work-up and informs about the proper time for removal of T-tube drainage. This method is also recommended preoperatively in children who are clinically stable and in whom trauma to the liver and biliary tract is suspected.
Rasmussen
L
L
Department of Surgical Gastroenterology, Odense University Hospital, Denmark.
Oster-Jörgensen
E
E
Hovendal
C P
CP
Qvist
N
N
Pedersen
S A
SA
D000007:Abdominal Injuries / Q000150:complications / Q000601:surgery; D000293:Adolescent; D001659:Biliary Tract / Q000000981:diagnostic imaging / Q000293:injuries*; D001662:Biliary Tract Surgical Procedures; D002648:Child; D002758:Cholangiography; D006801:Humans; D007098:Imino Acids; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D015609:Organotechnetium Compounds; D011184:Postoperative Period; D011877:Radionuclide Imaging; D019780:Technetium Tc 99m Lidofenin; D014949:Wounds, Nonpenetrating / Q000150:complications
D007098:Imino Acids; D015609:Organotechnetium Compounds; D019780:Technetium Tc 99m Lidofenin