Coupland D, Lentle B, Scudamore C
Department of Radiology, University of British Columbia, Vancouver, Canada.
Clin Nucl Med. 1991 Dec;16(12):904-6. doi: 10.1097/00003072-199112000-00004.
A patient with upper abdominal discomfort had Tc-99m IDA scintigraphy performed for suspected gallbladder disease. In addition to filling of the bile ducts and the gallbladder, tracer collected in the right side of the abdomen and was thought at first to be the right paracolic gutter, indicating a gallbladder rupture. Discussion with the surgeon and radiographic correlation indicated that the patient did not have gallbladder perforation but, rather, a malrotation of the bowel. This diagnosis became clear on delayed images.
一名有上腹部不适的患者因疑似胆囊疾病接受了锝-99m 亚氨基二乙酸（IDA）闪烁扫描。除了胆管和胆囊显影外，示踪剂在腹部右侧聚集，最初被认为是右侧结肠旁沟，提示胆囊破裂。与外科医生讨论并结合影像学表现表明，该患者并非胆囊穿孔，而是肠旋转不良。延迟影像使这一诊断变得明确。
