Scintigraphic and culdoscopic diagnosis of bile peritonitis complicating liver biopsy.
After an ultrasound-guided percutaneous liver biopsy, a 37-year-old woman developed a clinical syndrome suggestive of bile peritonitis, despite the presence of nondilated bile ducts and a surgically absent gallbladder. The diagnosis was established via hepatobiliary scintigraphy, which demonstrated aberrant biliary flow, as well as by culdocentesis, which yielded bilious fluid. The patient was managed medically and recovered uneventfully; follow-up biliary scanning established resolution of bile extravasation.
Veneri
R J
RJ
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, Michigan 48072.
Gordon
S C
SC
Fink-Bennett
D
D
D000328:Adult; D001646:Bile; D001659:Biliary Tract / Q000000981:diagnostic imaging; D001707:Biopsy, Needle / Q000009:adverse effects*; D003464:Culdoscopy; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology*; D010538:Peritonitis / Q000175:diagnosis* / Q000209:etiology; D011877:Radionuclide Imaging