Hepatobiliary Scan with Delayed Gallbladder Visualization in a Case of Acute Appendicitis

A 40-year-old woman presented with acute epigastric pain with vomiting. Within 24 hours, the pain spread to the right periumbilical region. Tc-99m disofenin hepatobiliary scan failed to demonstrate the gallbladder on a 60-minute view. The presumative diagnosis of acute cholecystitis was thought to b...

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Bibliographic Details
Published in:Clinical nuclear medicine 1982-05, Vol.7 (5), p.222-224
Main Authors: SMATHERS, RALPH L, HARMAN, P KENT, WANEBO, HAROLD J, READ, MARC E
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Appendicitis - diagnostic imaging
Biliary Tract - diagnostic imaging
Female
Gallbladder - diagnostic imaging
Humans
Imino Acids
Liver - diagnostic imaging
Radionuclide Imaging
Technetium
Technetium Tc 99m Disofenin
Time Factors
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Summary:A 40-year-old woman presented with acute epigastric pain with vomiting. Within 24 hours, the pain spread to the right periumbilical region. Tc-99m disofenin hepatobiliary scan failed to demonstrate the gallbladder on a 60-minute view. The presumative diagnosis of acute cholecystitis was thought to be confirmed on this basis by the patientʼs physicians. However, a 75-minute view demonstrated filling of the gallbladder. In hepatobiliary scanning for acute abdominal pain, delayed views (2 to 24 hours) are recommended when the gallbladder is not visualized on the 60-minute view. If the gallbladder is visualized, cystic duct obstruction can be excluded and diagnoses such as pancreatitis, acalculous cholecystitis, and acute appendicitis should be investigated.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-198205000-00006