Biliary Leak in the Postsurgical Abdomen: A Primer to HIDA Scan Interpretation

Postsurgical bile leaks can be associated with significant morbidity and even mortality, if not identified and treated at an early phase. Hepatobiliary iminodiacetic acid (HIDA) scan is an important test for detection of bile leaks in the postoperative abdomen. However, the lack of anatomical detail...

Full description

Saved in:
Bibliographic Details
Published in:Seminars in nuclear medicine 2017-11, Vol.47 (6), p.618-629
Main Authors: Matesan, Manuela, Bermo, Mohammed, Cruite, Irene, Shih, Cheng-Han, Elojeimy, Saeed, Behnia, Fatemeh, Lewis, David, Vesselle, Hubert
Format: Article
Language:English
Subjects:
Abdomen
Bile Duct Diseases
Biliary Tract - diagnostic imaging
Humans
Postoperative Complications - diagnostic imaging
Radionuclide Imaging
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Postsurgical bile leaks can be associated with significant morbidity and even mortality, if not identified and treated at an early phase. Hepatobiliary iminodiacetic acid (HIDA) scan is an important test for detection of bile leaks in the postoperative abdomen. However, the lack of anatomical details on planar images can make interpretation difficult, especially in the setting of altered postsurgical anatomy. Familiarity with the expected postoperative appearance on HIDA scan and correlation with SPECT/CT or other imaging modalities when available are very important. The purpose of this review is to describe the expected findings on HIDA scan after common major abdominal surgeries that involve a change in biliary tree anatomy, and illustrate how to identify biliary leaks and avoid interpretation pitfalls.
ISSN:0001-2998
1558-4623
DOI:10.1053/j.semnuclmed.2017.06.002