Computer-assisted Imaging and Display for Biliary Leak Detection

Hepatobiliary scintigraphy with Tc-99m IDA derivatives is a well-established imaging technique for the detection of various biliary tract disorders, including bile leaks. The most common cause of bile extravasation is biliary surgery, followed by penetrating abdominal trauma. Blunt abdominal injury and acute inflammation are rarer causes. A case of biliary extravasation caused by penetrating trauma is presented in which early identification of the leak and its she was made possible by dynamic display of the computer-acquired data.