Gallbladder/Biliary Pathologies, Common Symptoms, and Hepatobiliary Scintigraphy Findings
| Pathology | Symptom | Finding |
|---|---|---|
| Acute calculous cholecystitis | Acute biliary colic with or without fever, nausea, vomiting | Nonvisualization of gallbladder |
| Acute acalculous cholecystitis | Critical illness, sepsis, jaundice, pain in right upper quadrant | Nonvisualization of gallbladder (variable false positive due to illness) |
| Chronic calculous cholecystitis | Variable: biliary colic, nausea, reflux, bloating | Delayed gallbladder ejection fraction; stones on hepatobiliary scintigraphy or ancillary imaging |
| Chronic functional gallbladder disorder | Variable: biliary colic, nausea, reflux, bloating | Delayed gallbladder ejection fraction (other reported signs not diagnostic) |
| Sphincter-of-Oddi syndrome | Biliary colic, nausea, vomiting | Radiopharmaceutical concentration in biliary tree; delayed bowel excretion |
| Enterogastric reflux | Epigastric pain, vomiting, nausea, heartburn | Reflux of radiopharmaceutical in bowel proximal to ampulla of Vater |
| Hepatic dysfunction | Pain in right upper quadrant; severe illness pending cause | Delayed extraction by liver and delayed excretion from liver |