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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creator | SALAM, MAQBOOL GLOWNIAK, JERRY V VETTO, R MARK JARBOE, JERRY E HAINES, JAMES E KRISHNAMURTHY, GERBAIL T |
description | 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. |
doi_str_mv | 10.1097/00003072-198708000-00001 |
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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.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/00003072-198708000-00001</identifier><identifier>PMID: 3665296</identifier><identifier>CODEN: CNMEDK</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott-Raven Publishers</publisher><subject>Adolescent ; Bile ; Bile Ducts, Intrahepatic - diagnostic imaging ; Bile Ducts, Intrahepatic - injuries ; Bile Ducts, Intrahepatic - surgery ; Biological and medical sciences ; Female ; Humans ; Imino Acids ; Injuries of the abdomen. Foreign bodies of the digestive system ; Medical sciences ; Organometallic Compounds ; Radionuclide Imaging ; Technetium ; Technetium Tc 99m Disofenin ; Traumas. Diseases due to physical agents ; Wounds, Nonpenetrating - diagnostic imaging ; Wounds, Nonpenetrating - surgery</subject><ispartof>Clinical nuclear medicine, 1987-08, Vol.12 (8), p.589-591</ispartof><rights>Lippincott-Raven Publishers.</rights><rights>1987 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2991-e7aa8f1bda0857e0412f3b559becc25b508a4da2054de6647781080f5a87d0973</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8352815$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3665296$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SALAM, MAQBOOL</creatorcontrib><creatorcontrib>GLOWNIAK, JERRY V</creatorcontrib><creatorcontrib>VETTO, R MARK</creatorcontrib><creatorcontrib>JARBOE, JERRY E</creatorcontrib><creatorcontrib>HAINES, JAMES E</creatorcontrib><creatorcontrib>KRISHNAMURTHY, GERBAIL T</creatorcontrib><title>Detection of Bile Leakage from Traumatic Right Hepatic Duct Laceration with Technetium-99m DISIDA Cholescintigraphy</title><title>Clinical nuclear medicine</title><addtitle>Clin Nucl Med</addtitle><description>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.</description><subject>Adolescent</subject><subject>Bile</subject><subject>Bile Ducts, Intrahepatic - diagnostic imaging</subject><subject>Bile Ducts, Intrahepatic - injuries</subject><subject>Bile Ducts, Intrahepatic - surgery</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Imino Acids</subject><subject>Injuries of the abdomen. Foreign bodies of the digestive system</subject><subject>Medical sciences</subject><subject>Organometallic Compounds</subject><subject>Radionuclide Imaging</subject><subject>Technetium</subject><subject>Technetium Tc 99m Disofenin</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wounds, Nonpenetrating - diagnostic imaging</subject><subject>Wounds, Nonpenetrating - surgery</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU2P0zAQhi0EWrqFn4DkA-KWxXZixz4u7cJWqoQE5RxNnEljNh_FdlTtv8fblt7wxZqZ57WlZwihnN1xZsrPLJ2clSLjRpdMpyp7afFXZMFlrjImhHlNFixXeWZKJd6S2xB-J0BxVdyQm1wpKYxakLDGiDa6aaRTS7-4HukW4Qn2SFs_DXTnYR4gOkt_uH0X6SMeTtV6tpFuwaKHU_joYkd3aLsRo5uHzJiBrjc_N-t7uuqmHoN1Y3R7D4fu-R1500If8P3lXpJfXx92q8ds-_3bZnW_zawwhmdYAuiW1w0wLUtkBRdtXktparRWyFoyDUUDgsmiQaWKstQ8qWgl6LJJkvIl-XR-9-CnPzOGWA0uWOx7GHGaQ5VwJZK7BOozaP0Ugse2Ong3gH-uOKtefFf_fFdX36cWT9EPlz_mesDmGrwITvOPlzkEC33rYbQuXDGdS6HTxpakOGPHqY_ow1M_H9FXHUIfu-p_287_AvuRlrU</recordid><startdate>198708</startdate><enddate>198708</enddate><creator>SALAM, MAQBOOL</creator><creator>GLOWNIAK, JERRY V</creator><creator>VETTO, R MARK</creator><creator>JARBOE, JERRY E</creator><creator>HAINES, JAMES E</creator><creator>KRISHNAMURTHY, GERBAIL T</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><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></search><sort><creationdate>198708</creationdate><title>Detection of Bile Leakage from Traumatic Right Hepatic Duct Laceration with Technetium-99m DISIDA Cholescintigraphy</title><author>SALAM, MAQBOOL ; GLOWNIAK, JERRY V ; VETTO, R MARK ; JARBOE, JERRY E ; HAINES, JAMES E ; KRISHNAMURTHY, GERBAIL T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2991-e7aa8f1bda0857e0412f3b559becc25b508a4da2054de6647781080f5a87d0973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Adolescent</topic><topic>Bile</topic><topic>Bile Ducts, Intrahepatic - diagnostic imaging</topic><topic>Bile Ducts, Intrahepatic - injuries</topic><topic>Bile Ducts, Intrahepatic - surgery</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Imino Acids</topic><topic>Injuries of the abdomen. Foreign bodies of the digestive system</topic><topic>Medical sciences</topic><topic>Organometallic Compounds</topic><topic>Radionuclide Imaging</topic><topic>Technetium</topic><topic>Technetium Tc 99m Disofenin</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds, Nonpenetrating - diagnostic imaging</topic><topic>Wounds, Nonpenetrating - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SALAM, MAQBOOL</creatorcontrib><creatorcontrib>GLOWNIAK, JERRY V</creatorcontrib><creatorcontrib>VETTO, R MARK</creatorcontrib><creatorcontrib>JARBOE, JERRY E</creatorcontrib><creatorcontrib>HAINES, JAMES E</creatorcontrib><creatorcontrib>KRISHNAMURTHY, GERBAIL T</creatorcontrib><collection>Pascal-Francis</collection><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><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SALAM, MAQBOOL</au><au>GLOWNIAK, JERRY V</au><au>VETTO, R MARK</au><au>JARBOE, JERRY E</au><au>HAINES, JAMES E</au><au>KRISHNAMURTHY, GERBAIL T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of Bile Leakage from Traumatic Right Hepatic Duct Laceration with Technetium-99m DISIDA Cholescintigraphy</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>1987-08</date><risdate>1987</risdate><volume>12</volume><issue>8</issue><spage>589</spage><epage>591</epage><pages>589-591</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><coden>CNMEDK</coden><abstract>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.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>3665296</pmid><doi>10.1097/00003072-198708000-00001</doi><tpages>3</tpages></addata></record> |
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subjects | Adolescent Bile Bile Ducts, Intrahepatic - diagnostic imaging Bile Ducts, Intrahepatic - injuries Bile Ducts, Intrahepatic - surgery Biological and medical sciences Female Humans Imino Acids Injuries of the abdomen. Foreign bodies of the digestive system Medical sciences Organometallic Compounds Radionuclide Imaging Technetium Technetium Tc 99m Disofenin Traumas. Diseases due to physical agents Wounds, Nonpenetrating - diagnostic imaging Wounds, Nonpenetrating - surgery |
title | Detection of Bile Leakage from Traumatic Right Hepatic Duct Laceration with Technetium-99m DISIDA Cholescintigraphy |
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