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Simultaneous detection of biliary injury and vascular infarct using 99mTc-HIDA scintigraphy in a patient with trauma
Author(s) -
Himanshu Jaiswal,
Anshul Sharma,
Tejesh Pratap Singh,
R. S. Sethi
Publication year - 2021
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/ijnm.ijnm_8_21
Subject(s) - medicine , exploratory laparotomy , scintigraphy , radiology , laparotomy , emergency department , liver injury , nuclear medicine , surgery , psychiatry
A 45-year-old male with a history of trauma was referred to the department of nuclear medicine to identify site of a biliary leak, which could not be identified in ultrasound and exploratory laparotomy. Contrast-enhanced computed tomography (CT) was able to identify lacerations in the right lobe of the liver, but the extent of injury to the biliary pathways and vessels was unclear. 99mTc-HIDA scintigraphy with single-photon emission CT/CT was not only able to identify the site of leak but also the extent of infarcted area.