Various presentations of postcholecystectomy bile leak diagnosed by scintigraphy.
Hepatobiliary scintigraphy is an established method for the diagnosis of a bile leak from the biliary system. A bile leak should be considered in any patient after cholecystectomy who has unexplained abdominal pain after operation. Three patients with bile leak diagnosed by scintigraphy are described, one of whom had an unusual pattern of hepatic subcapsular collection of the bile. The second patient had a bile leak through the postsurgical drainage tube, whereas the third patient had a more typical pattern of leakage into the peritoneal cavity.
Ramachandran
A
A
Division of Nuclear Medicine, Danbury Hospital, Danbury, and University of Connecticut Health Center, Farmington, Connecticut, USA.
Gupta
S M
SM
Johns
W D
WD
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000000981:diagnostic imaging* / Q000209:etiology*; D001652:Bile Ducts / Q000000981:diagnostic imaging* / Q000293:injuries*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D002761:Cholangitis / Q000209:etiology; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000379:methods; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D020250:Postoperative Nausea and Vomiting / Q000209:etiology; D011877:Radionuclide Imaging; D012086:Reoperation; D012422:Rupture, Spontaneous; D012680:Sensitivity and Specificity; D015607:Stents; D019785:Technetium Tc 99m Disofenin
D019785:Technetium Tc 99m Disofenin