Cholescintigraphic detection of intraperitoneal bile leakage from a perforated duodenal ulcer.
A 66-year-old woman with known gallstones and peptic ulcer disease presented with acute epigastric pain. Cholescintigraphy revealed nonvisualization of the gallbladder with subhepatic and perihepatic accumulation of tracer. An upper gastrointestinal examination with water-soluble contrast revealed a perforated duodenal ulcer, with leakage confirmed at laparotomy. The gallbladder was intact.
Westley
K A
KA
Department of Diagnostic Radiology, Midland Hospital Center, Michigan.
Straub
W H
WH
Keyes
J W
JW
D000368:Aged; D001658:Biliary Fistula / Q000000981:diagnostic imaging*; D002769:Cholelithiasis / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004381:Duodenal Ulcer / Q000000981:diagnostic imaging*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007098:Imino Acids; D009942:Organometallic Compounds; D010439:Peptic Ulcer Perforation / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D019785:Technetium Tc 99m Disofenin
D007098:Imino Acids; D009942:Organometallic Compounds; D019785:Technetium Tc 99m Disofenin