Diagnosis of Caroli's disease by technetium-99m DISIDA cholescintigraphy. Report of three cases.
Three patients in whom Caroli's disease was diagnosed by cholangiographic methods were studied by scintigraphy with Tc-99m DISIDA. Cholescintigrams showed an intense concentration of the radionuclide in the form of round spots near the hepatic hilus in late images. In two patients with cholestasis, a delayed hepatic clearance of the radionuclide was observed, which improved when the exploration was performed after a choledocoduodenostomy. Tc-99m DISIDA is not only a good noninvasive method to diagnose Caroli's disease, but also a useful technique to evaluate the patency of the biliary tree during the follow-up of such patients.
D000328:Adult; D001649:Bile Duct Diseases / Q000000981:diagnostic imaging; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging*; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007098:Imino Acids; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D013577:Syndrome; D013667:Technetium; D019785:Technetium Tc 99m Disofenin
D007098:Imino Acids; D013667:Technetium; D019785:Technetium Tc 99m Disofenin