Early morphine administration to expedite gallbladder visualization during cholescintigraphy for acute cholecystitis.
A 58-year-old woman underwent emergent hepatobiliary imaging for evaluation of possible acute calculous cholecystitis. Intravenous morphine was administered 10 minutes after small bowel activity was first seen. The gallbladder visualized promptly after morphine administration, effectively excluding cystic duct obstruction and acute cholecystitis. The entire imaging procedure was completed and a final diagnosis made within 30 minutes.
Achong
Dwight M
DM
Nuclear Medicine Service, James A. Haley Veterans' Hospital, Tampa, FL 33612-4745, USA. dwight.achong@med.va.gov
Tenorio
Luis E
LE
D000208:Acute Disease; D000814:Aniline Compounds; D002764:Cholecystitis / Q000000981:diagnostic imaging*; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging*; D005998:Glycine; D006801:Humans; D007098:Imino Acids; D007275:Injections, Intravenous; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage; D009294:Narcotics / Q000008:administration & dosage; D015609:Organotechnetium Compounds; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013997:Time Factors
D000814:Aniline Compounds; D007098:Imino Acids; D009294:Narcotics; D015609:Organotechnetium Compounds; D019275:Radiopharmaceuticals; D009020:Morphine; C034837:technetium Tc 99m mebrofenin; D005998:Glycine