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Demonstration of Post-traumatic Bile Leak Using Technetium-99m DISIDA

1986; Lippincott Williams & Wilkins; Volume: 11; Issue: 12 Linguagem: Inglês

10.1097/00003072-198612000-00019

1536-0229

Ina Savitch, J.D. Esser, E SPRINGOLO, Michael C. Kew,

Gallbladder and Bile Duct Disorders

A 25-year-old miner was admitted with an acute abdomen and marked pallor following a crush injury to the abdomen. CT showed an irregular, patchy appearance of the posterosuperior portion of the liver with a coefficient of density appreciably less than the rest of the liver, consistent with the presence of a hepatic hematoma. The patient was treated conservatively. During the two weeks that followed, fluid accumulated in the peritoneal cavity. At laparotomy, a large volume of bileand blood-stained fluid was found in the peritoneal cavity. Tc-99m DISIDA imaging was done after laparotomy.