technetium-tc-99m-disofenin and Rupture--Spontaneous

Hepatobiliary scintigraphy is an established method for the diagnosis of a bile leak from the biliary system. A bile leak should be considered in any patient after cholecystectomy who has unexplained abdominal pain after operation. Three patients with bile leak diagnosed by scintigraphy are described, one of whom had an unusual pattern of hepatic subcapsular collection of the bile. The second patient had a bile leak through the postsurgical drainage tube, whereas the third patient had a more typical pattern of leakage into the peritoneal cavity.

Topics: Abdominal Pain; Adult; Aged; Bile Duct Diseases; Bile Ducts; Cholangiopancreatography, Endoscopic Retrograde; Cholangitis; Cholecystectomy, Laparoscopic; Cholelithiasis; Drainage; Female; Humans; Injections, Intravenous; Male; Postoperative Nausea and Vomiting; Radionuclide Imaging; Reoperation; Rupture, Spontaneous; Sensitivity and Specificity; Stents; Technetium Tc 99m Disofenin

Spontaneous gallbladder perforation is a very rare condition in infants. Most gallbladder perforations occur in adults, frequently due to trauma. Ultrasound, peritoneal lavage, and retrograde cholangiography may give indirect evidence of the possibility of this condition. There is no definitive diagnostic modality that can definitely determine the diagnosis in such cases. A case of gallbladder perforation with localized biliary ascites detected on radionuclide hepatobiliary imaging is presented.

Topics: Biliary Tract; Female; Gallbladder Diseases; Humans; Infant; Liver; Radionuclide Imaging; Radiopharmaceuticals; Rupture, Spontaneous; Technetium Tc 99m Disofenin

Perforation of the gallbladder in patients with chronic cholecystitis is rarely diagnosed preoperatively. We describe a case in which early cholescintigraphy permitted preoperative diagnosis and, therefore, prompt laparotomy.

Topics: Cholelithiasis; Gallbladder Diseases; Humans; Imino Acids; Male; Middle Aged; Organotechnetium Compounds; Preoperative Care; Radionuclide Imaging; Rupture, Spontaneous; Technetium Tc 99m Disofenin

Topics: Common Bile Duct; Common Bile Duct Diseases; Humans; Imino Acids; Infant; Liver; Organotechnetium Compounds; Radionuclide Imaging; Rupture, Spontaneous; Technetium Tc 99m Disofenin

A case of gallbladder perforation imaged during morphine-augmented cholescintigraphy is presented. Tc-99m DISIDA imaging dramatically demonstrated the bile leak. Whether morphine sulfate contributed to the perforation of the gallbladder is debatable.

Topics: Aged; Aged, 80 and over; Biliary Tract; Gallbladder Diseases; Humans; Imino Acids; Male; Morphine; Organotechnetium Compounds; Radionuclide Imaging; Rupture, Spontaneous; Technetium Tc 99m Disofenin

This report is of a 2-month-old child with spontaneous perforation of the common bile duct diagnosed by 99m-Tc disofenin nuclear hepatobiliary imaging. Of the agents available, the radiopharmaceutical properties of this compound allow the most accurate, safe, high-resolution imaging of the hepatobiliary tree in the diagnostic evaluation of jaundiced infants.

Topics: Bile Ducts; Biliary Tract Diseases; Female; Humans; Imino Acids; Infant; Radionuclide Imaging; Rupture, Spontaneous; Technetium; Technetium Tc 99m Disofenin

Topics: Acute Disease; Cholecystitis; Female; Gallbladder; Humans; Imino Acids; Middle Aged; Radionuclide Imaging; Rupture, Spontaneous; Technetium; Technetium Tc 99m Disofenin

A case of spontaneous rupture of the gallbladder correctly diagnosed preoperatively using Tc-99m DISIDA cholescintigraphy is presented.

Topics: Gallbladder Diseases; Humans; Imino Acids; Male; Middle Aged; Radionuclide Imaging; Rupture, Spontaneous; Technetium; Technetium Tc 99m Disofenin

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