Journal article
A diagnostic dilemma of atypical gallbladder appearance on Tc-99m HIDA cholescintigraphy resolved with SPECT/CT
Clinical nuclear medicine, Vol.36(2), pp.160-163
02/2011
DOI: 10.1097/RLU.0b013e3181feed6d
PMID: 21220991
Abstract
Tc-99m HIDA cholescintigraphy is the diagnostic procedure of choice for acute cholecystitis. Acute cholecystitis is associated in vast majority of the cases with cystic duct obstruction. The demonstration of presence (cystic duct patency) or absence (cystic duct obstruction) of visualization of the gallbladder on cholescintigraphy is critical to the diagnosis of acute cholecystitis. The visualization of the gallbladder rules out acute cholecystitis in most of the cases. Although, in most cases, determination of visualization or nonvisualization of gallbladder is straight forward, occasionally it can be challenging. We describe a patient with suspected acute cholecystitis, in whom an unusual appearance of the gallbladder on hepatobiliary scintigraphy was clarified with SPECT/CT, an approach that is rarely used in Tc-99m HIDA cholescintigraphy.
Details
- Title: Subtitle
- A diagnostic dilemma of atypical gallbladder appearance on Tc-99m HIDA cholescintigraphy resolved with SPECT/CT
- Creators
- Ravi Sood - Department of Nuclear Medicine, UIOWA Hospitals and Clinics, Iowa City, IA, USA. rsood@sbcglobal.netJeff MurguiaMichael M GrahamDavid BushnellShayne SquiresSandeep T LaroiaAnish Bansal
- Resource Type
- Journal article
- Publication Details
- Clinical nuclear medicine, Vol.36(2), pp.160-163
- Publisher
- United States
- DOI
- 10.1097/RLU.0b013e3181feed6d
- PMID
- 21220991
- ISSN
- 0363-9762
- eISSN
- 1536-0229
- Language
- English
- Date published
- 02/2011
- Academic Unit
- Radiology; Radiation Oncology; Internal Medicine
- Record Identifier
- 9984046930102771
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