title: Intestinal malrotation in adult seen on hepatobiliary scintigraphy.
abstract: Hepatobiliary scintigraphy is primarily used to diagnose acute and chronic biliary tract disorders. However, its potential role in diagnosing unsuspected extrahepatic pathology is not well described. We present 2 adult patients with chronic abdominal pain who underwent hepatobiliary scintigraphy for evaluation of cystic duct patency. In both cases, the proximal small bowel was located on the right side of the abdomen, which suggested the diagnosis of malrotation. Retrospective review of abdominal CT scan, upper gastrointestinal series, and subsequent laparotomy confirmed malrotation. The diagnosis of malrotation in both these patients was first suggested on hepatobiliary scintigraphy, which significantly impacted their subsequent management.
authors.affiliation: Department of Nuclear Medicine , William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
authors.forename: Sunil
authors.initials: S
authors.lastname: Bajaj
authors.forename: Darlene
authors.initials: D
authors.lastname: Fink-Bennett
authors.forename: David A
authors.initials: DA
authors.lastname: Bloom
mesh_terms: D000328:Adult; D001659:Biliary Tract / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed