Imaging of Septate Gallbladder

A 33-year-old man had a hepatobiliary scintigraphic examination because of intermittent discomfort and pain in the right upper abdominal region, especially after fatty meal. Dynamic study (Tc-99m trimethyl-Br-IDA) showed normal size and shape of the liver. Prominent imaging of the common bile and the left hepatic ducts began in the 12th minute, and filling of the gallbladder began in the 14th minute. At 30 minutes the gallbladder was overextended and no intestinal excretion was noted. Therefore the patient was given milk with egg yolk and the next part of dynamic scintigraphy was started immediately. During this study, the patient again experienced abdominal pain. At that time another cavity adjacent to the gallbladder appeared and disappeared several times in scintigraphic images. Later an abdominal ultrasound showed a septate gallbladder. Because no other abnormalities were found in examinations that followed, the authors believe the patient's difficulties were caused by dyskinesia of a septate gallbladder.