technetium-tc-99m-disofenin and Ascites

Hepatobiliary scintigraphy has been recognized as a useful diagnostic tool in detecting the presence and site of bile leaks. The authors report a case of bile ascites secondary to a postsurgical biliary leak, the scintigraphic findings in bile ascites, and the potential use of paracentesis, in combination with hepatobiliary scintigraphy, in confirming the presence of bile ascites and a bile leak.

Topics: Adult; Ascites; Bile; Cholecystectomy; Common Bile Duct; Female; Humans; Imino Acids; Postoperative Complications; Radionuclide Imaging; Suction; Technetium; Technetium Tc 99m Disofenin

An abdominal halo was demonstrated in a Tc-99m di-isopropyl imminodiacetic acid (DISIDA) hepatobiliary scintigram of a patient with a long history of alcohol abuse and liver disease complicated by massive ascites. This halo was not observed in the concurrent Tc-99m sulfur colloid study. Large amounts of ascitic fluid floated the liver, the bowel and the mesentery in the central abdomen forming an abdominal halo, a band-like clear zone around the abdominal organs. Severe hepatic dysfunction, resulting in prolongation of the blood pool phase in the Tc-99m DISIDA study, will cause exaggeration of this finding. When an abdominal halo is seen it should be considered a sign of massive ascites.

Topics: Abdomen; Ascites; Biliary Tract; Humans; Imino Acids; Liver; Male; Middle Aged; Technetium; Technetium Tc 99m Disofenin; Tomography, Emission-Computed

Topics: Ascites; Bile; Common Bile Duct Diseases; Cysts; Female; Humans; Imino Acids; Infant; Peritonitis; Radionuclide Imaging; Rupture, Spontaneous; Technetium; Technetium Tc 99m Disofenin