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  • Title: Detection of bile leakage from traumatic right hepatic duct laceration with technetium-99m DISIDA cholescintigraphy.
    Author: Salam M, Glowniak JV, Vetto RM, Jarboe JE, Haines JE, Krishnamurthy GT.
    Journal: Clin Nucl Med; 1987 Aug; 12(8):589-91. PubMed ID: 3665296.
    Abstract:
    A woman was admitted to the hospital after blunt abdominal trauma. Initial ultrasound was equivocal but suggested a localized hepatic laceration. The patient was discharged but returned three weeks later with ascites and mild pain in the right upper abdominal quadrant. Hepatobiliary imaging identified a large bile leak originating from the porta hepatis but showed no evidence of parenchymal injury. No hepatic injury was found at surgery, but a laceration of the right hepatic duct was identified. Hepatobiliary imaging is the procedure of choice in diagnosing bile leaks from the extrahepatic biliary system.
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