Abstract |
The authors describe a 10-week-old boy who presented with symptoms of progressive obstructive jaundice and abdominal distension. Clinical examination revealed gross hepatomegaly. A preoperative Tc-99m mebrofenin hepatobiliary study showed a large photopenic area involving the entire right lobe of the liver that did not communicate with the biliary system. Ultrasonography revealed a huge cystic mass with a few intracystic septae involving nearly the entire liver parenchyma. Under ultrasound guidance, a pigtail catheter was inserted into the cyst and produced free drainage of bile-stained fluid. Subsequently, an obstructed choledochal cyst was diagnosed clinically, and a right hepatectomy followed by a Roux-en-Y loop implantation on the raw surface of the left lobe were performed. Serial postoperative Tc-99m mebrofenin hepatobiliary studies showed marked improvement in liver function and biliary drainage with significant regeneration of the liver parenchyma.
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Authors | R Kumar, S Choudhury, B Dasan, S Agarwala, A Malhotra |
Journal | Clinical nuclear medicine
(Clin Nucl Med)
Vol. 26
Issue 4
Pg. 331-3
(Apr 2001)
ISSN: 0363-9762 [Print] United States |
PMID | 11290894
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Aniline Compounds
- Imino Acids
- Organotechnetium Compounds
- Radiopharmaceuticals
- technetium Tc 99m mebrofenin
- Glycine
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Topics |
- Anastomosis, Roux-en-Y
- Aniline Compounds
- Choledochal Cyst
(complications, diagnostic imaging, surgery)
- Cholestasis
(etiology)
- Glycine
- Hepatectomy
- Humans
- Imino Acids
- Infant
- Male
- Organotechnetium Compounds
- Postoperative Care
- Preoperative Care
- Radionuclide Imaging
- Radiopharmaceuticals
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