[Bile leakage, bile ascites and bilioma--nuclear medicine diagnosis--demonstration of typical cholescintigraphic findings]. 1985

H G Reichelt

Cholescintigraphy (hepatobiliary sequential scintigraphy) with 99m Tc-marked IDA derivatives results in a specific identification of bile in free intraperitoneal fluids (bile ascites) or encapsulated intraperitoneal fluids (bilioma). To detect or exclude a biliary leak, cholescintigraphy was performed in 42 patients. In contrast to sonography and CT ("anatomical imaging"), which are capable of detecting an intraperitoneal accumulation of fluid with high sensitivity, cholescintigraphy ("functional imaging"), alone can help to identify the presence of bile in such fluids, both specifically and on a non-invasive basis. Modern gamma cameras are of such high sensitivity that they can identify even the most minute of activity (bile) quantities with satisfactory anatomic allocation.

UI MeSH Term Description Entries
D007098 Imino Acids Carboxylic acids that contain an imino group (C Amino Acids, Secondary,Acids, Secondary Amino,Secondary Amino Acids,Acids, Imino
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011877 Radionuclide Imaging The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph. Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D002763 Cholecystectomy Surgical removal of the GALLBLADDER. Cholecystectomies
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001201 Ascites Accumulation or retention of free fluid within the peritoneal cavity.
D001658 Biliary Fistula Abnormal passage in any organ of the biliary tract or between biliary organs and other organs. Biliary Fistulas,Fistula, Biliary,Fistulas, Biliary
D001660 Biliary Tract Diseases Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER. Biliary Tract Disease,Disease, Biliary Tract,Diseases, Biliary Tract,Tract Disease, Biliary,Tract Diseases, Biliary

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