The value of hepatobiliary scanning in complex liver trauma.
To evaluate the use of biliary scintigraphy with 99m Tc-dimethyl analogs (HIDA) in traumatic liver injuries, a group of 26 patients with penetrating and blunt liver injuries were studied. The results indicate that HIDA scanning is an effective noninvasive method of evaluating the hepatobiliary tree in the post-traumatic setting. The HIDA scan is a sensitive tool for studying the hepatic parenchyma and the presence or absence of bile leaks. Its evaluation of the extrahepatic biliary ductal system is not specific and should be assessed with further studies. Gallbladder nonvisualization by HIDA scans in this setting cannot be presumed to be secondary to acute cholecystitis and should be interpreted with extreme caution.
D000328:Adult; D001659:Biliary Tract / Q000000981:diagnostic imaging / Q000293:injuries*; D005069:Evaluation Studies as Topic; D006801:Humans; D007098:Imino Acids; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D011877:Radionuclide Imaging; D012189:Retrospective Studies; D013154:Spleen / Q000000981:diagnostic imaging; D013667:Technetium; D019780:Technetium Tc 99m Lidofenin; D013671:Technetium Tc 99m Sulfur Colloid; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging
D007098:Imino Acids; D013671:Technetium Tc 99m Sulfur Colloid; D019780:Technetium Tc 99m Lidofenin; D013667:Technetium