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Hepatobiliary scan showing type II choledochal cyst.
J Wienke1, S Falen, W McCartney
1Department of Radiology, University of North Carolina, Chapel Hill 27707, USA. Jwienke@nc.rr.com
Clinical Nuclear Medicine
|November 17, 2001
Summary
Nuclear medicine hepatobiliary scintigraphy effectively evaluates right upper quadrant pain for acute cholecystitis. This case highlights its ability to detect type II choledochal cysts, aiding diagnosis in patients presenting with similar symptoms.
Area of Science:
- Radiology
- Nuclear Medicine
- Gastroenterology
Background:
- Hepatobiliary scintigraphy is a standard diagnostic tool for evaluating acute cholecystitis.
- Right upper quadrant pain is a common clinical presentation requiring accurate diagnosis.
Observation:
- A patient presented with symptoms suggestive of acute cholecystitis.
- A nuclear medicine hepatobiliary scan was performed for diagnostic evaluation.
Findings:
- The hepatobiliary scan revealed findings consistent with a type II choledochal cyst.
- This diagnosis was made in a patient initially suspected of having acute cholecystitis.
Implications:
- This case underscores the utility of hepatobiliary scintigraphy beyond acute cholecystitis.
- Accurate identification of choledochal cysts is crucial for appropriate patient management and surgical planning.