Demonstration of post-traumatic bile leak using technetium-99m DISIDA.
A 25-year-old miner was admitted with an acute abdomen and marked pallor following a crush injury to the abdomen. CT showed an irregular, patchy appearance of the posterosuperior portion of the liver with a coefficient of density appreciably less than the rest of the liver, consistent with the presence of a hepatic hematoma. The patient was treated conservatively. During the two weeks that followed, fluid accumulated in the peritoneal cavity. At laparotomy, a large volume of bile- and blood-stained fluid was found in the peritoneal cavity. Tc-99m DISIDA imaging was done after laparotomy.
D000328:Adult; D001658:Biliary Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007098:Imino Acids; D008099:Liver / Q000293:injuries*; D008297:Male; D009942:Organometallic Compounds; D011877:Radionuclide Imaging; D013667:Technetium; D019785:Technetium Tc 99m Disofenin
D007098:Imino Acids; D009942:Organometallic Compounds; D013667:Technetium; D019785:Technetium Tc 99m Disofenin