Jacobson A F
Department of Veterans Affairs Medical Center, Seattle, Washington 98108, USA.
Clin Nucl Med. 1995 Jul;20(7):579-82. doi: 10.1097/00003072-199507000-00001.
A patient with cholelithiasis and clinically suspected of acute cholecystitis underwent hepatobiliary scintigraphy that demonstrated initial nonvisualization of the gallbladder in association with a subtle rim sign, but subsequent gallbladder visualization after administration of intravenous morphine. After an 8-day period of medical management, an elective cholecystectomy was performed, which revealed a gangrenous gallbladder with a gallstone in the neck and full thickness necrosis. These results suggest that gallbladder visualization on morphine-augmented hepatobiliary scintigraphy should be interpreted cautiously in the presence of a rim sign because acute cholecystitis remains a possibility.
一名患有胆结石且临床怀疑为急性胆囊炎的患者接受了肝胆闪烁扫描，结果显示最初胆囊未显影并伴有轻微边缘征，但静脉注射吗啡后胆囊随后显影。经过8天的内科治疗后，进行了择期胆囊切除术，术中发现胆囊坏疽，颈部有一枚胆结石，且存在全层坏死。这些结果表明，在出现边缘征的情况下，对吗啡增强的肝胆闪烁扫描中胆囊显影的解读应谨慎，因为仍有可能是急性胆囊炎。
