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Bile Leakage Accumulating in the Gallbladder Bed Mimicking Normal Visualization of Gallbladder in Technetium-99m Disida Hepatobiliary Imaging

SHIH, WEI-JEN, M.D.; DUFF, DENISE, M.D.; MOSTOWYCZ, LEONIDAS, M.D.

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A bile leak is defined as an accumulation of radiotracer outside of the normal distribution in hepatobiliary imaging. A patient with a history of cholecyslectomy underwent Tc-99m DISIDA imaging, which showed radiotracer accumulation in the gallbladder bed mimicking normal visualization of the gallbladder within 1 hour; the area of activity was then dispersed along the inferior border of the liver in the 3-hour image. Subsequent exploratory laparotomy confirmed bile leakage.

From the Nuclear Medicine and Radiology Services, Veterans Administration and University of Kentucky Medical Centers, Lexington, Kentucky

© Lippincott-Raven Publishers.