technetium-tc-99m-disofenin and Liver-Abscess

We describe a 41-year-old man with a 1-week history of nausea and vomiting 1 month after chemoembolization of a liver metastasis. The patient subsequently became febrile and developed right upper quadrant abdominal and midback pain. Findings of initial laboratory and imaging studies (a noncontrast computed tomographic [CT] scan and ultrasound) were not remarkable. Hepatobiliary scintigraphy, performed to rule out cholecystitis, revealed an abnormal area in the right lobe of the liver consistent with a focal bile leak into an abscess cavity. The patient was subsequently treated for liver abscess. In conclusion, hepatobiliary scintigraphy should be considered as a first-line test in the work-up of patients whenever a postchemoembolization complication is considered likely.

Topics: Bile; Cholecystitis; Diagnosis, Differential; Embolization, Therapeutic; Humans; Liver Abscess; Liver Neoplasms; Male; Middle Aged; Radionuclide Imaging; Radiopharmaceuticals; Technetium Tc 99m Disofenin; Tomography, X-Ray Computed; Ultrasonography

Topics: Aged; Cholestasis, Intrahepatic; Humans; Liver Abscess; Male; Radionuclide Imaging; Radiopharmaceuticals; Technetium Tc 99m Disofenin

Topics: Abscess; Aged; Biliary Tract Diseases; Female; Gallium Radioisotopes; Humans; Liver Abscess; Postoperative Complications; Radiopharmaceuticals; Staphylococcal Infections; Technetium Tc 99m Disofenin; Tomography, Emission-Computed, Single-Photon

Topics: Aged; Biliary Fistula; Colonic Diseases; Female; Gallbladder Diseases; Humans; Imino Acids; Intestinal Fistula; Liver Abscess; Organotechnetium Compounds; Radionuclide Imaging; Technetium Tc 99m Disofenin