Role of Tc-99m IDA scintigraphy in the evaluation of hepatobiliary trauma

Traumatic pediatric bile duct injury: nonoperative intervention as an alternative to surgical intervention

“…Early diagnosis requires a high index of suspicion and timely use of diagnostic modalities such as hepatobiliary scintigraphy, ultrasound, computed tomographic scan, magnetic resonance cholangiopancreatography, ERCP, and intraoperative cholangiogram [2,[9][10][11][12]. HIDA scan is the preferred screening tool for bile leak.…”

“…HIDA scan is the preferred screening tool for bile leak. Weissman et al [11] recommended obtaining delayed images if bile leak is suspected even if the study is normal at 1 hour. All our patients had a positive HIDA scan demonstrating bile leak.…”

“…However, associated bile duct injuries remain as difficult challenges. The diagnosis is difficult and usually missed, initially resulting in substantial morbidity and prolonged hospitalization and has led to death in some cases [1][2][3][4][5][6][7][8][9][10][11].…”

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

“…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].…”

Sonographic diagnosis of traumatic gallbladder avulsion

“…Finally, hepatobiliary scintigraphy may show leakage of the radiopharmaceutical agent through the peritoneal cavity with or without gallbladder visualization in patients with gallbladder or cystic duct injuries. 7…”