An abnormal gallbladder presenting as a huge, rounded photon-deficient area in radionuclide hepatobiliary imaging.
Tc-99m DISIDA hepatobiliary imaging was used to evaluate a hemophiliac patient presenting with symptoms of acute cholecystitis and gastrointestinal bleeding. There was nonvisualization of this abnormal gallbladder even on 6 1/2-hour delayed DISIDA images. Instead, a huge photon-deficient area was seen in the gallbladder fossa. Ultrasound and computed tomography findings were consistent with an enlarged gallbladder filled with blood.
Davis
R B
RB
Dept of Diagnostic Radiology, University of Kentucky Medical Ctr, Lexington 40536-0084.
Shih
W J
WJ
Stigers
K
K
Fried
A
A
D000328:Adult; D003937:Diagnosis, Differential; D005704:Gallbladder / Q000002:abnormalities / Q000000981:diagnostic imaging*; D006431:Hemobilia / Q000000981:diagnostic imaging*; D006801:Humans; D007098:Imino Acids; D008099:Liver / Q000000981:diagnostic imaging*; D008297:Male; D015609:Organotechnetium Compounds; D011827:Radiation; D011877:Radionuclide Imaging; D019785:Technetium Tc 99m Disofenin
D007098:Imino Acids; D015609:Organotechnetium Compounds; D019785:Technetium Tc 99m Disofenin