Abstract
A 41-year-old woman underwent laparoscopic cholecystectomy for the treatment of gall-stone and adenomyomatosis. One month after laparoscopic cholecystectomy, hepatobiliary scintigraphy was performed with99mTc-Sn-N-pyridoxyl-5-methyltryptophan (PMT) to evaluate the presence of a bile leak and/or other complication. A biliary extravasation was noted in the left upper quadrant within 60 minutes. At five hours post injection, a progressive accumulation of99mTc-PMT was noted in the lesser sac, the right and left paracolic gutter and in the pouch of Douglas. A diagnosis of biliary leakage was made. The patient underwent exploratory laparotomy to repair the leak from the cystic duct stump.
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Oshima, M., Yasukochi, H. Bile leakage after laparoscopic cholecystectomy demonstrated with99mTc-PMT hepatobiliary scintigraphy. Ann Nucl Med 7, 265–267 (1993). https://doi.org/10.1007/BF03164708
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DOI: https://doi.org/10.1007/BF03164708