Abstract
Radionuclide scanning of the hepatobiliary tree is highly accurate for the detection of patients with acute cholecystitis. Hemobilia, a rare complication of percutaneous liver biopsy, may result in blood clots within the biliary canaliculi. Such clots, like gallstones, may occlude the ducts and produce a clinical syndrome indistinguishable from acute cholecystitis. A patient with acute cholecystitis resulting from hemobilia following percutaneous biopsy of the liver is described. The diagnosis of acute cholecystitis secondary to blood clots was made with technetium99mTc Iprofenin (Pipida [Sn]) scintigraphy. The patient was treated conservatively, and follow-up Pipida scan 6 weeks later demonstrated normal hepatobiliary function.
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Lewis, J., Varma, V., Tice, H. et al. Hepatobiliary scanning in hemobilia-induced acute cholecystitis. Gastrointest Radiol 7, 169–171 (1982). https://doi.org/10.1007/BF01887633
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DOI: https://doi.org/10.1007/BF01887633