Bile leakage after laparoscopic cholecystectomy demonstrated with 99mTc-PMT hepatobiliary scintigraphy.
A 41-year-old woman underwent laparoscopic cholecystectomy for the treatment of gallstone and adenomyomatosis. One month after laparoscopic cholecystectomy, hepatobiliary scintigraphy was performed with 99mTc-Sn-N-pyridoxyl-5-methyltryptophan (PMT) to evaluate the presence of a bile leak and/or other complication. A biliary extravasation was noted in the left upper quadrant within 60 minutes. At five hours post injection, a progressive accumulation of 99mTc-PMT was noted in the lesser sac, the right and left paracolic gutter and in the pouch of Douglas. A diagnosis of biliary leakage was made. The patient underwent exploratory laparotomy to repair the leak from the cystic duct stump.
Oshima
M
M
Department of Radiology, Teikyo University School of Medicine, Tokyo, Japan.
Yasukochi
H
H
D000328:Adult; D001649:Bile Duct Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006801:Humans; D015609:Organotechnetium Compounds; D011759:Pyrrolidines; D011877:Radionuclide Imaging; D013752:Tetracycline; D013754:Tetracyclines
D015609:Organotechnetium Compounds; D011759:Pyrrolidines; D013754:Tetracyclines; C057732:technetium Tc 99m pyrrolidino-methyltetracycline; D013752:Tetracycline