Hepatobiliary Scan with Delayed Gallbladder Visualization in a Case of Acute Appendicitis
A 40-year-old woman presented with acute epigastric pain with vomiting. Within 24 hours, the pain spread to the right periumbilical region. Tc-99m disofenin hepatobiliary scan failed to demonstrate the gallbladder on a 60-minute view. The presumative diagnosis of acute cholecystitis was thought to b...
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| Veröffentlicht in: | Clin. Nucl. Med.; (United States) 1982-05, Vol.7 (5), p.222-224 |
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| creator | SMATHERS, RALPH L HARMAN, P KENT WANEBO, HAROLD J READ, MARC E |
| description | A 40-year-old woman presented with acute epigastric pain with vomiting. Within 24 hours, the pain spread to the right periumbilical region. Tc-99m disofenin hepatobiliary scan failed to demonstrate the gallbladder on a 60-minute view. The presumative diagnosis of acute cholecystitis was thought to be confirmed on this basis by the patientʼs physicians. However, a 75-minute view demonstrated filling of the gallbladder. In hepatobiliary scanning for acute abdominal pain, delayed views (2 to 24 hours) are recommended when the gallbladder is not visualized on the 60-minute view. If the gallbladder is visualized, cystic duct obstruction can be excluded and diagnoses such as pancreatitis, acalculous cholecystitis, and acute appendicitis should be investigated. |
| doi_str_mv | 10.1097/00003072-198205000-00006 |
| format | Article |
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Within 24 hours, the pain spread to the right periumbilical region. Tc-99m disofenin hepatobiliary scan failed to demonstrate the gallbladder on a 60-minute view. The presumative diagnosis of acute cholecystitis was thought to be confirmed on this basis by the patientʼs physicians. However, a 75-minute view demonstrated filling of the gallbladder. In hepatobiliary scanning for acute abdominal pain, delayed views (2 to 24 hours) are recommended when the gallbladder is not visualized on the 60-minute view. If the gallbladder is visualized, cystic duct obstruction can be excluded and diagnoses such as pancreatitis, acalculous cholecystitis, and acute appendicitis should be investigated.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/00003072-198205000-00006</identifier><identifier>PMID: 7200846</identifier><language>eng</language><publisher>United States: Lippincott-Raven Publishers</publisher><subject>551001 -- Physiological Systems-- Tracer Techniques ; Acute Disease ; Adult ; Appendicitis - diagnostic imaging ; BASIC BIOLOGICAL SCIENCES ; BETA DECAY RADIOISOTOPES ; BETA-MINUS DECAY RADIOISOTOPES ; BILIARY TRACT ; Biliary Tract - diagnostic imaging ; BODY ; COMPARATIVE EVALUATIONS ; COUNTING TECHNIQUES ; DIAGNOSIS ; DIAGNOSTIC TECHNIQUES ; DIAGNOSTIC USES ; DIGESTIVE SYSTEM ; DIGESTIVE SYSTEM DISEASES ; DISEASES ; Female ; Gallbladder - diagnostic imaging ; GASTROINTESTINAL TRACT ; GLANDS ; HOURS LIVING RADIOISOTOPES ; Humans ; Imino Acids ; INTERMEDIATE MASS NUCLEI ; INTESTINES ; ISOMERIC NUCLEI ; ISOMERIC TRANSITION ISOTOPES ; ISOTOPES ; LARGE INTESTINE ; LIVER ; Liver - diagnostic imaging ; LYMPHATIC SYSTEM ; NUCLEI ; ODD-EVEN NUCLEI ; ORGANS ; RADIOISOTOPE SCANNING ; RADIOISOTOPES ; RADIOLOGY AND NUCLEAR MEDICINE ; Radionuclide Imaging ; SCINTISCANNING ; Technetium ; TECHNETIUM 99 ; TECHNETIUM ISOTOPES ; Technetium Tc 99m Disofenin ; Time Factors ; USES ; YEARS LIVING RADIOISOTOPES 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics</subject><ispartof>Clin. 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Med.; (United States), 1982-05, Vol.7 (5), p.222-224</ispartof><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3826-cdbaedadcb9379e531c99556a1a649a025b82ab617b7027d26e4b33981b774bb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,885,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7200846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/6725957$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>SMATHERS, RALPH L</creatorcontrib><creatorcontrib>HARMAN, P KENT</creatorcontrib><creatorcontrib>WANEBO, HAROLD J</creatorcontrib><creatorcontrib>READ, MARC E</creatorcontrib><creatorcontrib>Department of Radiology, University of Virginia Medical Center, Charlottesville</creatorcontrib><title>Hepatobiliary Scan with Delayed Gallbladder Visualization in a Case of Acute Appendicitis</title><title>Clin. Nucl. Med.; (United States)</title><addtitle>Clin Nucl Med</addtitle><description>A 40-year-old woman presented with acute epigastric pain with vomiting. Within 24 hours, the pain spread to the right periumbilical region. Tc-99m disofenin hepatobiliary scan failed to demonstrate the gallbladder on a 60-minute view. The presumative diagnosis of acute cholecystitis was thought to be confirmed on this basis by the patientʼs physicians. However, a 75-minute view demonstrated filling of the gallbladder. In hepatobiliary scanning for acute abdominal pain, delayed views (2 to 24 hours) are recommended when the gallbladder is not visualized on the 60-minute view. If the gallbladder is visualized, cystic duct obstruction can be excluded and diagnoses such as pancreatitis, acalculous cholecystitis, and acute appendicitis should be investigated.</description><subject>551001 -- Physiological Systems-- Tracer Techniques</subject><subject>Acute Disease</subject><subject>Adult</subject><subject>Appendicitis - diagnostic imaging</subject><subject>BASIC BIOLOGICAL SCIENCES</subject><subject>BETA DECAY RADIOISOTOPES</subject><subject>BETA-MINUS DECAY RADIOISOTOPES</subject><subject>BILIARY TRACT</subject><subject>Biliary Tract - diagnostic imaging</subject><subject>BODY</subject><subject>COMPARATIVE EVALUATIONS</subject><subject>COUNTING TECHNIQUES</subject><subject>DIAGNOSIS</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>DIAGNOSTIC USES</subject><subject>DIGESTIVE SYSTEM</subject><subject>DIGESTIVE SYSTEM DISEASES</subject><subject>DISEASES</subject><subject>Female</subject><subject>Gallbladder - diagnostic imaging</subject><subject>GASTROINTESTINAL TRACT</subject><subject>GLANDS</subject><subject>HOURS LIVING RADIOISOTOPES</subject><subject>Humans</subject><subject>Imino Acids</subject><subject>INTERMEDIATE MASS NUCLEI</subject><subject>INTESTINES</subject><subject>ISOMERIC NUCLEI</subject><subject>ISOMERIC TRANSITION ISOTOPES</subject><subject>ISOTOPES</subject><subject>LARGE INTESTINE</subject><subject>LIVER</subject><subject>Liver - diagnostic imaging</subject><subject>LYMPHATIC SYSTEM</subject><subject>NUCLEI</subject><subject>ODD-EVEN NUCLEI</subject><subject>ORGANS</subject><subject>RADIOISOTOPE SCANNING</subject><subject>RADIOISOTOPES</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Radionuclide Imaging</subject><subject>SCINTISCANNING</subject><subject>Technetium</subject><subject>TECHNETIUM 99</subject><subject>TECHNETIUM ISOTOPES</subject><subject>Technetium Tc 99m Disofenin</subject><subject>Time Factors</subject><subject>USES</subject><subject>YEARS LIVING RADIOISOTOPES 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU2PEzEMhiMEWrqFn4AUceA2kI-ZZHKsCuyutBIHPiROkZO4aiCdDJOMquXXM6Vlb_hi-fVrW3pMCOXsLWdGv2NLSKZFw00vWLdUzUlST8iKd1I1TAjzlKyYVLIxWonn5LqUH4xxxVV7Ra60YKxv1Yp8v8URanYxRZge6GcPAz3GuqfvMcEDBnoDKbkEIeBEv8UyQ4q_ocY80DhQoFsoSPOObvxckW7GEYcQfayxvCDPdpAKvrzkNfn68cOX7W1z_-nmbru5b7zshWp8cIABgndGaoOd5N6YrlPAQbUGmOhcL8Aprp1mQgehsHVSmp47rVvn5Jq8Pu_NpUZbltvo9z4PA_pqlRad6fRienM2jVP-NWOp9hCLx5RgwDwXq1um9YnpmvRno59yKRPu7DjFw4LGcmZP6O0_9PYR_V9JLaOvLjdmd8DwOHhhvfTbc_-YU8Wp_EzzESe7R0h1b__3UfkHCf-NXA</recordid><startdate>198205</startdate><enddate>198205</enddate><creator>SMATHERS, RALPH L</creator><creator>HARMAN, P KENT</creator><creator>WANEBO, HAROLD J</creator><creator>READ, MARC E</creator><general>Lippincott-Raven Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>198205</creationdate><title>Hepatobiliary Scan with Delayed Gallbladder Visualization in a Case of Acute Appendicitis</title><author>SMATHERS, RALPH L ; HARMAN, P KENT ; WANEBO, HAROLD J ; READ, MARC E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3826-cdbaedadcb9379e531c99556a1a649a025b82ab617b7027d26e4b33981b774bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>551001 -- Physiological Systems-- Tracer Techniques</topic><topic>Acute Disease</topic><topic>Adult</topic><topic>Appendicitis - diagnostic imaging</topic><topic>BASIC BIOLOGICAL SCIENCES</topic><topic>BETA DECAY RADIOISOTOPES</topic><topic>BETA-MINUS DECAY RADIOISOTOPES</topic><topic>BILIARY TRACT</topic><topic>Biliary Tract - diagnostic imaging</topic><topic>BODY</topic><topic>COMPARATIVE EVALUATIONS</topic><topic>COUNTING TECHNIQUES</topic><topic>DIAGNOSIS</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>DIAGNOSTIC USES</topic><topic>DIGESTIVE SYSTEM</topic><topic>DIGESTIVE SYSTEM DISEASES</topic><topic>DISEASES</topic><topic>Female</topic><topic>Gallbladder - diagnostic imaging</topic><topic>GASTROINTESTINAL TRACT</topic><topic>GLANDS</topic><topic>HOURS LIVING RADIOISOTOPES</topic><topic>Humans</topic><topic>Imino Acids</topic><topic>INTERMEDIATE MASS NUCLEI</topic><topic>INTESTINES</topic><topic>ISOMERIC NUCLEI</topic><topic>ISOMERIC TRANSITION ISOTOPES</topic><topic>ISOTOPES</topic><topic>LARGE INTESTINE</topic><topic>LIVER</topic><topic>Liver - diagnostic imaging</topic><topic>LYMPHATIC SYSTEM</topic><topic>NUCLEI</topic><topic>ODD-EVEN NUCLEI</topic><topic>ORGANS</topic><topic>RADIOISOTOPE SCANNING</topic><topic>RADIOISOTOPES</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Radionuclide Imaging</topic><topic>SCINTISCANNING</topic><topic>Technetium</topic><topic>TECHNETIUM 99</topic><topic>TECHNETIUM ISOTOPES</topic><topic>Technetium Tc 99m Disofenin</topic><topic>Time Factors</topic><topic>USES</topic><topic>YEARS LIVING RADIOISOTOPES 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SMATHERS, RALPH L</creatorcontrib><creatorcontrib>HARMAN, P KENT</creatorcontrib><creatorcontrib>WANEBO, HAROLD J</creatorcontrib><creatorcontrib>READ, MARC E</creatorcontrib><creatorcontrib>Department of Radiology, University of Virginia Medical Center, Charlottesville</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Clin. Nucl. Med.; (United States)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SMATHERS, RALPH L</au><au>HARMAN, P KENT</au><au>WANEBO, HAROLD J</au><au>READ, MARC E</au><aucorp>Department of Radiology, University of Virginia Medical Center, Charlottesville</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hepatobiliary Scan with Delayed Gallbladder Visualization in a Case of Acute Appendicitis</atitle><jtitle>Clin. Nucl. Med.; (United States)</jtitle><addtitle>Clin Nucl Med</addtitle><date>1982-05</date><risdate>1982</risdate><volume>7</volume><issue>5</issue><spage>222</spage><epage>224</epage><pages>222-224</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><abstract>A 40-year-old woman presented with acute epigastric pain with vomiting. Within 24 hours, the pain spread to the right periumbilical region. Tc-99m disofenin hepatobiliary scan failed to demonstrate the gallbladder on a 60-minute view. The presumative diagnosis of acute cholecystitis was thought to be confirmed on this basis by the patientʼs physicians. However, a 75-minute view demonstrated filling of the gallbladder. In hepatobiliary scanning for acute abdominal pain, delayed views (2 to 24 hours) are recommended when the gallbladder is not visualized on the 60-minute view. If the gallbladder is visualized, cystic duct obstruction can be excluded and diagnoses such as pancreatitis, acalculous cholecystitis, and acute appendicitis should be investigated.</abstract><cop>United States</cop><pub>Lippincott-Raven Publishers</pub><pmid>7200846</pmid><doi>10.1097/00003072-198205000-00006</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-9762 |
| ispartof | Clin. Nucl. Med.; (United States), 1982-05, Vol.7 (5), p.222-224 |
| issn | 0363-9762 1536-0229 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | 551001 -- Physiological Systems-- Tracer Techniques Acute Disease Adult Appendicitis - diagnostic imaging BASIC BIOLOGICAL SCIENCES BETA DECAY RADIOISOTOPES BETA-MINUS DECAY RADIOISOTOPES BILIARY TRACT Biliary Tract - diagnostic imaging BODY COMPARATIVE EVALUATIONS COUNTING TECHNIQUES DIAGNOSIS DIAGNOSTIC TECHNIQUES DIAGNOSTIC USES DIGESTIVE SYSTEM DIGESTIVE SYSTEM DISEASES DISEASES Female Gallbladder - diagnostic imaging GASTROINTESTINAL TRACT GLANDS HOURS LIVING RADIOISOTOPES Humans Imino Acids INTERMEDIATE MASS NUCLEI INTESTINES ISOMERIC NUCLEI ISOMERIC TRANSITION ISOTOPES ISOTOPES LARGE INTESTINE LIVER Liver - diagnostic imaging LYMPHATIC SYSTEM NUCLEI ODD-EVEN NUCLEI ORGANS RADIOISOTOPE SCANNING RADIOISOTOPES RADIOLOGY AND NUCLEAR MEDICINE Radionuclide Imaging SCINTISCANNING Technetium TECHNETIUM 99 TECHNETIUM ISOTOPES Technetium Tc 99m Disofenin Time Factors USES YEARS LIVING RADIOISOTOPES 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics |
| title | Hepatobiliary Scan with Delayed Gallbladder Visualization in a Case of Acute Appendicitis |
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