Detection of Bile Leakage from Traumatic Right Hepatic Duct Laceration with Technetium-99m DISIDA Cholescintigraphy
A woman was admitted to the hospital after blunt abdominal trauma. Initial ultrasound was equivocal but suggested a localized hepatic laceration. The patient was discharged but returned three weeks later with ascites and mild pain in the right upper abdominal quadrant. Hepatobiliary imaging identifi...
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Veröffentlicht in: | Clinical nuclear medicine 1987-08, Vol.12 (8), p.589-591 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | A woman was admitted to the hospital after blunt abdominal trauma. Initial ultrasound was equivocal but suggested a localized hepatic laceration. The patient was discharged but returned three weeks later with ascites and mild pain in the right upper abdominal quadrant. Hepatobiliary imaging identified a large bile leak originating from the porta hepatis but showed no evidence of parenchymal injury. No hepatic injury was found at surgery, but a laceration of the right hepatic duct was identified. Hepatobiliary imaging is the procedure of choice in diagnosing bile leaks from the extrahepatic biliary system. |
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ISSN: | 0363-9762 1536-0229 |
DOI: | 10.1097/00003072-198708000-00001 |