scholarly journals False Negative Hepatobiliary Iminodiacetic Acid (HIDA) Scan in a Case of Gall Bladder Perforation

Cureus ◽  
2021 ◽  
Author(s):  
Ramakanth Pata ◽  
Shristi Lamichhane ◽  
Nirajan Regmi ◽  
Abolfazl Ahmady ◽  
Roudabeh Kiani
Keyword(s):  
Gall Bladder ◽  
False Negative ◽  
Iminodiacetic Acid ◽  
Bladder Perforation ◽  
Hida Scan

scholarly journals Ectopic gall bladder – An interesting case report

2016 ◽  
Vol 17 (2) ◽  
pp. 156-158
Author(s):  
Sharmin Reza ◽  
Faria Nasreen ◽  
Sharmin Quddus ◽  
Tapati Mandal ◽  
Ferdous Ara Hussain
Keyword(s):  
Case Report ◽  
Gall Bladder ◽  
Interesting Case ◽  
The Other ◽  
Rare Entity ◽  
Diagnostic Dilemma ◽  
Hida Scan ◽  
Other Hand ◽  
Hepatobiliary Scan

Ectopic gall bladder is a rare entity. It can often be misdiagnosed causing diagnostic dilemma leading to various complications. Ultrasonography is the most common investigation for evaluating gall bladder pathologies. However, the confirmation of ectopic gallbladder is not easily possible by this method. On the other hand, hepatobiliary scan (HIDA scan) plays an important role in evaluating the presence and position of ectopic gallbladder. Here we present a case of sonographically suspected ectopic gallbladder confirmed by hepatobiliary scan highlighting the importance of HIDA scan in ectopic gallbladder.Bangladesh J. Nuclear Med. 17(2): 156-158, July 2014

scholarly journals Role of Hepatobiliary Scintigraphy and Ultrasonography in the Diagnosis of Biliary Atresia in Infant with Neonatal Jaundice – Experiences in NINMAS

2017 ◽  
Vol 18 (1) ◽  
pp. 51-53
Author(s):  
Nasreen Sultana ◽  
Zeenat Jabin ◽  
Md Bashir ◽  
Rahima Parveen ◽  
Shamim MF Begum ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Gall Bladder ◽  
Biliary Atresia ◽  
False Positive ◽  
Hepatic Dysfunction ◽  
Hepatobiliary Scintigraphy ◽  
Hida Scan ◽  
Complementary Role

Objective: The purpose of this study was to determine whether gall bladder visualization can help to exclude the biliary atresia in hepatobiliary scintigraphic studies of infants with persistent jaundice.Methods: This is a retrospective study carried out at the National Institute of Nuclear Medicine and Allied Sciences (NINMAS). Study subjects include infants with neo-natal jaundice who underwent Hepatobiliary scintigraphies for suspected biliary atresia and study period was 2 years. Food was withheld for 4 hours before the examination. Anterior images of liver and gall bladder were taken after i/v administration of 2 -3 mci 99m Tc labeled Brida (HIDA) at 5 min interval for 2 hours then at 4 hours and 24 hours. Non-visualization of bowel activity in HIDA scan in 24hours delayed images was considered as cases of diagnosis of biliary atresia.Results: Thirty-six patients were included in this retrospective study. Patent biliary channels was seen by scintigraphies in 17(47%) patients and biliary atresia was seen in 19(52%) patients. By abdominal US non- visualization of gall bladder were found in 25(69%) cases and gall bladder visualized in 11(30%) cases. Eight (22%) of 36 patients had biopsy confirmed biliary atresia; all of these had positive scintigraphies and (60%) had positive sonographic findings. Among the 5 false-positive scintigraphies caused by hepatic dysfunction and 2 had normal sonography. Thirty-six patients had periscintigraphic sonography. There were 25/36 (61%) abnormal studies, which included cases with small gallbladder (n = 8) and non-visualized gallbladder (n = 17), but not periportal fibrosis.Conclusion: Gall bladder was usually visible on Hepatobiliary scintigraphy of fasting patients with biliary patency.  Both hepatobiliary scintigraphy and sonography are currently the standard imaging investigations for suspected biliary atresia. The complementary role, in which scintigraphy and sonography are important, and recommend follow-up imaging reassessment before making definitive surgical decisions. This will serve to decrease the frequency of false-positive imaging diagnoses of biliary atresia, and hence, avoid unnecessary surgeries.Bangladesh J. Nuclear Med. 18(1): 51-53, January 2015

A bloodstream infection by Ruminococcus gnavus in a patient with a gall bladder perforation

Anaerobe ◽  
2017 ◽  
Vol 47 ◽  
pp. 129-131 ◽  
Author(s):  
Young Jin Kim ◽  
Hee Yoon Kang ◽  
Yujin Han ◽  
Mi Suk Lee ◽  
Hee Joo Lee
Keyword(s):  
Gall Bladder ◽  
Bloodstream Infection ◽  
Bladder Perforation

scholarly journals Intrahepatic Type II Gall Bladder Perforation Secondary to Acute Acalculous Cholecystitis

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Vimaleswaran Koculen ◽  
Umesh Jayarajah ◽  
Anil P. Ambawatte
Keyword(s):  
Gall Bladder ◽  
Acalculous Cholecystitis ◽  
Bladder Perforation ◽  
Acute Acalculous Cholecystitis ◽  
Close Monitoring ◽  
Type Ii ◽  
Elderly Male ◽  
Healthy Elderly ◽  
Gall Stones ◽  
High Degree

Gall bladder perforation is a rare but serious complication of acute cholecystitis. Gall bladder perforations commonly occur in patients with comorbidities and in association with gall stones. We report a rare occurrence of intrahepatic type II perforation of the gall bladder in a previously healthy elderly male with acalculous cholecystitis. Lack of early positive findings related to clinical assessment, laboratory workup, and imaging resulted in a challenging diagnosis. High degree of clinical suspicion and close monitoring in such patients is necessary to detect early deterioration and improve outcomes.

Gall Bladder Perforation: Still an Enigma in Tropics

2019 ◽  
Vol 81 (3) ◽  
pp. 277-283
Author(s):  
Meghraj Kundan ◽  
Chintamani ◽  
Anju Kumari
Keyword(s):  
Gall Bladder ◽  
Bladder Perforation

Gall-bladder perforation after long-term dapsone therapy

1990 ◽  
Vol 228 (4) ◽  
pp. 409-410 ◽  
Author(s):  
A. M. CHOY ◽  
C. C. LANG
Keyword(s):  
Gall Bladder ◽  
Bladder Perforation
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