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
Hauptverfasser: SALAM, MAQBOOL, GLOWNIAK, JERRY V, VETTO, R MARK, JARBOE, JERRY E, HAINES, JAMES E, KRISHNAMURTHY, GERBAIL T
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container_end_page 591
container_issue 8
container_start_page 589
container_title Clinical nuclear medicine
container_volume 12
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. 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source MEDLINE; Journals@Ovid Complete
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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