Simultaneous Detection of Biliary Injury and Vascular Infarct using 99mTc-HIDA Scintigraphy in a Patient with Trauma
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Updated: Oct 16, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Himanshu Jaiswal1, Anshul Sharma1, Tejesh Pratap Singh1
1Department of Nuclear Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Abstract:
A 45-year-old male with a history of trauma was referred to the department of nuclear medicine to identify site of a biliary leak, which could not be identified in ultrasound and exploratory laparotomy. Contrast-enhanced computed tomography (CT) was able to identify lacerations in the right lobe of the liver, but the extent of injury to the biliary pathways and vessels was unclear. 99mTc-HIDA scintigraphy with single-photon emission CT/CT was not only able to identify the site of leak but also the extent of infarcted area.
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