Dennison K G, Khoury D, Heironimus J D
Department of Radiology, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6200.
Clin Nucl Med. 1990 Feb;15(2):95-6. doi: 10.1097/00003072-199002000-00006.
Serious complications of liver biopsy are uncommon with injury to the gallbladder being rare. Rapid diagnosis and proper management of injuries to the biliary system are necessary because of potential morbidity associated with bile peritonitis. Scintigraphy is an accepted means of evaluating traumatic injuries of the gallbladder and biliary tree. The authors present a case of iatrogenic perforation of the gallbladder during liver biopsy demonstrated by hepatobiliary scintigraphy. CT and surgical correlation are provided.
肝活检的严重并发症并不常见,胆囊损伤则更为罕见。由于胆汁性腹膜炎可能带来的发病率,对胆道系统损伤进行快速诊断和妥善处理很有必要。闪烁扫描术是评估胆囊和胆道树创伤性损伤的一种公认方法。作者报告了一例经肝胆闪烁扫描术证实的肝活检期间医源性胆囊穿孔病例,并提供了CT及手术相关情况。