title: Hepatobiliary Scintigraphy of Evolving Spontaneous Biliary Leak.
abstract: The patient is a 44-year-old woman with Crohn's disease, who presented to the ED with abdominal pain. Initial imaging by CT and US showed mild biliary tree dilatation, mild gallbladder distension, and pericholecystic fluid. The cystic and common bile ducts were patent without bile leak on cholescintigraphy. The next day, MRCP revealed free fluid extending from the gallbladder fossa to the right lower quadrant. Subsequently, a repeat cholescintigraphy was performed which was positive for bile leak. This case highlights the use of multiple imaging modalities in assessing abdominal pain, pre-and post-biliary leak.
authors.affiliation: From the Department of Diagnostic Radiology and Molecular Imaging, William Beaumont School of Medicine and Health System, Oakland University, Royal Oak, MI.
authors.forename: Lesley
authors.initials: L
authors.lastname: Flynt
authors.forename: Paul
authors.initials: P
authors.lastname: Grant
authors.forename: John P
authors.initials: JP
authors.lastname: Seitz
authors.forename: Feng
authors.initials: F
authors.lastname: Qing
mesh_terms: D000328:Adult; D000814:Aniline Compounds; D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging*; D005260:Female; D005998:Glycine; D006801:Humans; D007098:Imino Acids; D064847:Multimodal Imaging; D015609:Organotechnetium Compounds; D019275:Radiopharmaceuticals; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
chemical_list: D000814:Aniline Compounds; D007098:Imino Acids; D015609:Organotechnetium Compounds; D019275:Radiopharmaceuticals; C034837:technetium Tc 99m mebrofenin; D005998:Glycine