title: Unusual scintigraphic appearance of perforation of the common bile duct.
abstract: This report deals with the diagnosis of perforation of the common bile duct into the lesser sac by HIDA cholescintigraphy. The first hour images after injection were suggestive of biliary obstruction. Subsequent images demonstrated unusual accumulations of the activity into the lesser sac and retroperitoneal potential spaces. Careful correlation between scintigraphic and surgical findings were undertaken. The case is reported to demonstrate the scintigraphic findings in choledochal perforation and to stress the importance of carrying out late images when the initial ones are abnormal.
mesh_terms: D000368:Aged; D001646:Bile / Q000000981:diagnostic imaging; D003137:Common Bile Duct Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D042882:Gallstones / Q000150:complications; D006801:Humans; D007098:Imino Acids; D008297:Male; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D013667:Technetium; D019785:Technetium Tc 99m Disofenin; D013997:Time Factors
chemical_list: D007098:Imino Acids; D013667:Technetium; D019785:Technetium Tc 99m Disofenin