Demonstration of traumatic bile leakage with cholescintigraphy and ultrasonography

Bilomas: A new approach to the diagnosis and treatment

“…The patient had a percutaneons drainage and 6 weeks later was discharged, well, from the hospital However, prior to any needle puncture of a suspected biloma, we are now advocating a H I D A scan. The efficacy of H!DA scans as complementary procedures to ultrasound for the evaluation of bilomas has already been established [4]. Although 5 of our patients did not receive HIDA scans, our subsequent experience with them has convinced us that they are warranted in the evaluation of possible biliary leakage.…”

“…We were encouraged, however, by recent reports of successful percutaneous catheter drainage of abdominal abscesses [71 as well as our own experience in treating liver abscesses with percutaneous drainage [8]. In addition, there has been 1 reported case of an infected biloma that resolved after treatment with external drainage and antibiotics [4].…”

Biloma during Steroid Therapy for Minimal Change Nephrotic Syndrome.

“…As a procedure to prove the bile communication, an endoscopic retrograde cholangiography or a radionuclide study is usually used. A radionuclide study in particular has been recommended by several authors as a complementaryprocedure to ultrasound for the evaluation of biloma (2,4,17), because it is not only noninvasive but also it can provide important information regarding the activity of the bile leak and can be helpful in assessing response to treatment with drainage (4, 6). Weissmann et al (4) reported a case in which serial 99mTcHIDAchole-scintigraphy revealed obvious diminution of the leak after external drainage.…”

Detection of intraperitoneal bile accumulations: Significance of ultrasonography, CT, and cholescintigraphy

“…Even leakage of an anastomosis after choledochoenterostomy is revealed in an innocuous way. The diagnosis of anastomosis leakage would be difficult to obtain with ultrasonography or CT [13,23]. One case of bile leakage into a hepatic abscess in a liver transplant detected by cholescintigraphy has been reported by Klingensmith et al [9].…”