Ramachandran A, Gupta S M, Johns W D
Division of Nuclear Medicine, Danbury Hospital, Danbury, and University of Connecticut Health Center, Farmington, Connecticut, USA.
Clin Nucl Med. 2001 Jun;26(6):495-8. doi: 10.1097/00003072-200106000-00002.
Hepatobiliary scintigraphy is an established method for the diagnosis of a bile leak from the biliary system. A bile leak should be considered in any patient after cholecystectomy who has unexplained abdominal pain after operation. Three patients with bile leak diagnosed by scintigraphy are described, one of whom had an unusual pattern of hepatic subcapsular collection of the bile. The second patient had a bile leak through the postsurgical drainage tube, whereas the third patient had a more typical pattern of leakage into the peritoneal cavity.
肝胆闪烁扫描术是诊断胆道系统胆汁漏的一种既定方法。任何胆囊切除术后出现不明原因腹痛的患者都应考虑存在胆汁漏。本文描述了3例经闪烁扫描术诊断为胆汁漏的患者，其中1例患者肝脏包膜下胆汁积聚的模式不寻常。第2例患者通过术后引流管发生胆汁漏，而第3例患者则有更典型的漏入腹腔的模式。
