PT  - JOURNAL ARTICLE
AU  - Naeem, Sana
AU  - Li, Hanna
AU  - Yang, Zhiyun
TI  - Precise Localization of a Bile Leak with Hepatobiliary Scintigraphy
AID  - 10.2967/jnmt.115.154997
DP  - 2016 Mar 01
TA  - Journal of Nuclear Medicine Technology
PG  - 44--45
VI  - 44
IP  - 1
4099  - http://tech.snmjournals.org/content/44/1/44.short
4100  - http://tech.snmjournals.org/content/44/1/44.full
SO  - J. Nucl. Med. Technol.2016 Mar 01; 44
AB  - Hepatobiliary scintigraphy (HBS) is a widely used modality to diagnose biliary injury. In patients with a history of trauma or surgery, the common presentations of bile leaks on HBS are a progressive collection of radiotracer outside the biliary system. However, the precise localization of a bile leak is usually not conveyed by noninvasive techniques including CT or ultrasound or even HBS. This case study of a patient with liver trauma demonstrates a direct bile leak sign leading to recognition of an exact bile leakage site from the left intrahepatic duct. This diagnosis helped clinicians perform less-invasive management.