Document Detail

Scintigraphic gallbladder visualization with gangrenous acalculous cholecystitis.
MedLine Citation:
PMID:  17053389     Owner:  NLM     Status:  MEDLINE    
Hepatobiliary scintigraphy evaluates the biliary clearance of Tc-99m-labeled iminodiacetic acid agents (Tc-99m IDA) and has a high sensitivity and specificity for the diagnosis of acute cholecystitis. False-negative studies are extremely rare. We describe an apparently normal nonmorphine-augmented hepatobiliary study in gangrenous acalculous cholecystitis. Based on clinical findings, computed tomography, and ultrasound demonstration of a dilated gallbladder, a cholecystectomy was performed. Pathologic examination of the gallbladder revealed acute gangrenous cholecystitis with culture positive for Klebsiella pneumoniae.
Christopher Ananian; Andrew Dunn; Vazrik Mansourian; Vicente J Caride
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  31     ISSN:  0363-9762     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-20     Completed Date:  2007-01-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  701-3     Citation Subset:  IM    
Nuclear Medicine, Department of Radiology, Hospital of Saint Raphael, Yale University School of Medicine, New Haven, CT 06511, USA.
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MeSH Terms
Acalculous Cholecystitis / radionuclide imaging*,  surgery
False Negative Reactions
Gallbladder / pathology*,  radionuclide imaging*,  surgery
Gangrene / radionuclide imaging,  surgery
Radiopharmaceuticals / diagnostic use
Technetium Tc 99m Disofenin / diagnostic use*
Reg. No./Substance:
0/Radiopharmaceuticals; 0/Technetium Tc 99m Disofenin

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