Differential gallbladder contractility in fundal adenomyomatosis: demonstration by cholecystokinin cholescintigraphy.
The cholecystokinin cholescintigraphic findings of fundal adenomyomatosis in a 29-yr-old male with severe post-prandial pain are presented. Planar cholescintigraphy demonstrated a trilobed gallbladder contour. Following the administration of 0.02 micrograms/kg of cholecystokinin at maximal gallbladder filling, fundal dyskinesia was observed. Regional gallbladder ejection fractions were: whole gallbladder, 43%; proximal two-thirds of the gallbladder, 70%; and gallbladder fundus, 32%. First harmonic Fourier phase and amplitude images demonstrated: (a) decreased fundal amplitude values, and (b) a phase shift of the pixels in the gallbladder fundus.
Swayne
L C
LC
Department of Diagnostic Radiology, Morristown Memorial Hospital, New Jersey 07960.
Heitner
D
D
Rubenstein
J B
JB
Fernandez
A
A
Niknejad
G
G
D000328:Adult; D002766:Cholecystokinin; D004715:Endometriosis / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005704:Gallbladder / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005706:Gallbladder Neoplasms / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D007098:Imino Acids; D008297:Male; D009942:Organometallic Compounds; D010528:Peristalsis; D011877:Radionuclide Imaging; D019785:Technetium Tc 99m Disofenin
D007098:Imino Acids; D009942:Organometallic Compounds; D002766:Cholecystokinin; D019785:Technetium Tc 99m Disofenin