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  - 2015 Jun 01
TA  - Journal of Nuclear Medicine Technology
PG  - jnmt.115.154997
4099  - http://tech.snmjournals.org/content/early/2015/06/24/jnmt.115.154997.short
4100  - http://tech.snmjournals.org/content/early/2015/06/24/jnmt.115.154997.full
AB  - Hepatobiliary scintigraphy (HBS) is 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 of the biliary system. However precise localization of a bile leak is usually not conveyed by non-invasive techniques including CT or Ultrasound (US) 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.