Hepatobiliary and gallium imaging findings in gallbladder perforation: A case report and review of the literature

Journal Article · Wed Feb 01 00:00:00 EST 1989 · Clin. Nucl. Med.; (United States)

DOI:https://doi.org/10.1097/00003072-198902000-00001· OSTI ID:5766953

Yeo, E; Chen, D C; Siegel, M E

Gallbladder perforation is an unusual condition with a high mortality rate. Early detection with prompt surgical intervention can increase the survival rate. Hepatobiliary imaging using Technetium-99m-labeled iminodiacetic acid has been used for the diagnosis of gallbladder perforation. However, the results vary and are somewhat confusing. The authors report a case of gallbladder perforation with hepatobiliary imaging and an unusual gallium image; review the literature; and propose a classification of three different imaging patterns: (1) visualization of the gallbladder with bile leakage, (2) nonvisualization of the gallbladder with a photopenic fluid collection, and (3) nonvisualization of the gallbladder with bile leakage. These patterns may provide pathophysiologic information for the surgeon. 27 references.

• Research Organization: Univ. of Southern California, Los Angeles (USA)
• OSTI ID: 5766953
• Journal Information: Clin. Nucl. Med.; (United States), Vol. 14:2
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
BILIARY TRACT
IMAGE PROCESSING
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MAN
REVIEWS
TECHNETIUM 99
ANIMALS
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BETA-MINUS DECAY RADIOISOTOPES
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PRIMATES
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TECHNETIUM ISOTOPES
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