Hepatobiliary and Gallium Imaging Findings in Gallbladder Perforation: A Case Report and Review of the Literature

The use of radionuclide imaging in the evaluation of suspected biliary damage during laparoscopic cholecystectomy

“…Radionuclide hepatobiliary studies using Tc-99m IDA derivatives provide a very sensitive, specific, and noninvasive test for assessing the presence of a bile leak [1]. Biliary leakage in the acute stages is often asymptomatic, and hepatobiliary imaging is able to diagnose leaks before clinical or laboratory manifestations occur [2].…”

“…Bile leakage from the gallbladder and biliary system has been reported following elective cholecystectomy [2,4], in gallbladder perforation following acute cholecystitis [1], blunt and penetrating upper abdominal trauma [5,6], liver transplantation [7], and liver biopsy [8]. A case of intraperitoneal bile leak following a perforated duodenal ulcer has also been reported [9].…”

“…A case of intraperitoneal bile leak following a perforated duodenal ulcer has also been reported [9]. Free intraperitoneal bile can cause biliary peritonitis if it is not rapidly diagnosed and treated [1,4]. Although small amounts of sterile intraperitoneal bile are often asymptomatic and of no consequence, larger amounts of bile or the development of secondary infection can be life-threatening [3].…”

“…Bile leaks have been reported as complications of elective cholecystectomy, blunt and penetrating upper abdominal trauma, liver transplant, liver biopsy, and following perforation of a duodenal ulcer [1][2][3][4][5][6][7][8][9][10].…”

Gallige Peritonitis bei einem alkoholkranken Mann nach traumatischer Gallenblasenperforation - Differenzialdiagnostik zur aszitisch dekompensierten Leberzirrhose

“…Neben der Ultraschalluntersuchung kommen vor allem die Computertomographie, die endoskopische retrograde Cholangiographie und nuklear-medizinische Verfahren mit gallegängigen Substanzen zum Einsatz. Die Aussagekraft der einzelnen Untersuchungstechniken wird in verschiedenen Publikationen unterschiedlich beurteilt [9,12,16,17].…”