Detection of bile leakage from traumatic right hepatic duct laceration with technetium-99m DISIDA cholescintigraphy.
A woman was admitted to the hospital after blunt abdominal trauma. Initial ultrasound was equivocal but suggested a localized hepatic laceration. The patient was discharged but returned three weeks later with ascites and mild pain in the right upper abdominal quadrant. Hepatobiliary imaging identified a large bile leak originating from the porta hepatis but showed no evidence of parenchymal injury. No hepatic injury was found at surgery, but a laceration of the right hepatic duct was identified. Hepatobiliary imaging is the procedure of choice in diagnosing bile leaks from the extrahepatic biliary system.
Salam
M
M
Nuclear Medicine Service, VA Medical Center, Portland, Oregon 97207.
Glowniak
J V
JV
Vetto
R M
RM
Jarboe
J E
JE
Haines
J E
JE
Krishnamurthy
G T
GT
D000293:Adolescent; D001646:Bile; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D007098:Imino Acids; D009942:Organometallic Compounds; D011877:Radionuclide Imaging; D013667:Technetium; D019785:Technetium Tc 99m Disofenin; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000601:surgery
D007098:Imino Acids; D009942:Organometallic Compounds; D013667:Technetium; D019785:Technetium Tc 99m Disofenin