title: Precise Localization of a Bile Leak with Hepatobiliary Scintigraphy.
abstract: Hepatobiliary scintigraphy (HBS) is a widely used modality to diagnose biliary injury. In patients with a history of trauma or surgery, the common presentations of bile leaks on HBS are a progressive collection of radiotracer outside the biliary system. However, the precise localization of a bile leak is usually not conveyed by noninvasive techniques including CT or ultrasound or even HBS. This case study of a patient with liver trauma demonstrates a direct bile leak sign leading to recognition of an exact bile leakage site from the left intrahepatic duct. This diagnosis helped clinicians perform less-invasive management.
authors.affiliation: Department of Radiology, Louisiana State University Health Sciences Center/University Health, Shreveport, Louisiana snaeem@lsuhsc.edu.
authors.forename: Sana
authors.initials: S
authors.lastname: Naeem
authors.affiliation: Department of Radiology, Louisiana State University Health Sciences Center/University Health, Shreveport, Louisiana.
authors.forename: Hanna
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Radiology, Louisiana State University Health Sciences Center/University Health, Shreveport, Louisiana.
authors.forename: Zhiyun
authors.initials: Z
authors.lastname: Yang
mesh_terms: D000293:Adolescent; D001646:Bile / Q000378:metabolism*; D001659:Biliary Tract / Q000000981:diagnostic imaging* / Q000378:metabolism; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging* / Q000378:metabolism; D008297:Male; D011877:Radionuclide Imaging
keywords: bile leak; biliary leak; cholescintigraphy; hepatic laceration; hepatobiliary iminodiacetic acid (HIDA) scan; hepatobiliary scintigraphy (HBS)