Hepatobiliary scintigraphic findings in obstructed intrahepatic choledochal cyst before and after surgery.

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.

• 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)

Chemical References

• Aniline Compounds
• Imino Acids
• Organotechnetium Compounds
• Radiopharmaceuticals
• technetium Tc 99m mebrofenin
• Glycine

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