Taylor A, Kipper M S, Witztum K, Greenspan G, Kan M
Radiology. 1982 Jul;144(2):373-5. doi: 10.1148/radiology.144.2.7089293.
99mTc-PIPIDA scans were obtained in three patients with acute abdominal pain. The appearance of the scans suggested partial common duct obstruction. Two patients underwent surgery. One had acute appendicitis and the second had infarction of the distal ileum. In both cases, the gallbladder and biliary tract were normal. The third patient had been treated with morphine, which is known to increase biliary tract pressure and may cause contraction of the sphincter of Oddi. An ultrasound study of the gallbladder was normal and all symptoms resolved within 24 hours. Subsequently, three additional patients without biliary disease have been seen who had similar hepatobiliary scans. All three had received meperidine prior to the study. It is concluded that acute abdominal disease or the administration of morphine sulfate or meperidine can result in a scan pattern suggesting partial distal common duct obstruction in the absence of gallbladder or biliary tract disease.
对三名急性腹痛患者进行了99mTc - PIPIDA扫描。扫描结果提示胆总管部分梗阻。两名患者接受了手术。一名患有急性阑尾炎，另一名患有回肠末端梗死。在这两种情况下，胆囊和胆道均正常。第三名患者曾接受吗啡治疗，已知吗啡会增加胆道压力并可能导致奥迪括约肌收缩。胆囊超声检查正常，所有症状在24小时内缓解。随后，又观察到三名无胆道疾病的患者，他们有类似的肝胆扫描结果。这三名患者在检查前均接受了哌替啶治疗。得出的结论是，急性腹部疾病或硫酸吗啡或哌替啶的使用可导致在无胆囊或胆道疾病的情况下出现提示胆总管远端部分梗阻的扫描模式。
