Hepatobiliary Scan in Infantile Spontaneous Perforation of Common Bile Duct

영아 자발성 총담관 천공의 간담도 스캔

  • Zeon, Seok-Kil (Department of Nuclear Medicine, School of Medicine, Keimyung University) ;
  • Ryu, Jong-Gul (Department of Nuclear Medicine, School of Medicine, Keimyung University) ;
  • Lee, Eun-Young (Department of Nuclear Medicine, School of Medicine, Keimyung University) ;
  • Lee, Jong-Gil (Department of Diagnostic Radiology, Taegu Fatima Hospital)
  • 전석길 (계명대학교 의과대학 핵의학과) ;
  • 류종걸 (계명대학교 의과대학 핵의학과) ;
  • 이은영 (계명대학교 의과대학 핵의학과) ;
  • 이종길 (대구파티마병원 진단방사선과)
  • Published : 1996.03.25

Abstract

Spontaneous perforation of CBD in infant is a rare but fatal disease. We report a case of bile leakage from common bile duct in 11 months old girl with progressive abdominal distension and vomiting, preoperatively diagnosed by hepatobiliary scan with 99mTc-DISIDA, which was confirmed by surgery, Operative cholangiogram showed a small perforation at the confluence of cystic duct and common bile duct with mild fusiform dilatation, and no definite abnormality in confluence of the common bile duct and pancreatic duct. Simple drainage of the free peritoneal bilous fluid and T-tube drainage were performed without any evidence of the complication. Patient was inevitable for 6 months OPD follow-up examination.

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