Abnormal /sup 99//sup m/Tc-PIPIDA scans mistaken for common duct obstruction

Journal Article · Thu Jul 01 00:00:00 EDT 1982 · Radiology; (United States)

OSTI ID:5105382

Taylor, A Jr ^[1]; Kipper, M S; Witztum, K; Greenspan, G; Kan, M

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1. Univ. of California Medical Center, San Diego

/sup 99//sup m/Tc-PIPIDA scans were obtained in three patients with acute abdominal pain. The appearance of the scans suggested partial common duct obstruction. Two patients underwent surgery. One had acute appendicitis and the second had infarction of the distal ileum. In both cases, the gallbladder and biliary tract were normal. The third patient had been treated with morphine, which is known to increase biliary tract pressure and may cause contraction of the sphincter of Oddi. An ultrasound study of the gallbladder was normal and all symptoms resolved within 24 hours. Subsequently, three additional patients without biliary disease have been seen who had similar hepatobiliary scans. All three had received meperidine prior to the study. It is concluded that acute abdominal disease or the administration of morphine sulfate or meperidine can result in a scan pattern suggesting partial distal common duct obstruction in the absence of gallbladder or biliary tract disease.

• OSTI ID: 5105382
• Journal Information: Radiology; (United States), Vol. 144:2
• Country of Publication: United States
• Language: English

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