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Nuclear Medicine
Gastrointestinal
Hepatobiliary
Biliary Leak
Biliary Leak
Paula Vergara-Wentland, MD; Paige Bennett, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Diagnostic Checklist

        TERMINOLOGY

        • Definitions

          • Focal collection or free flow of bile into abdomen
            • Usually postsurgical complication

        IMAGING

        • General Features

          • Imaging Recommendations

            DIFFERENTIAL DIAGNOSIS

              PATHOLOGY

              • General Features

                CLINICAL ISSUES

                • Presentation

                  • Treatment

                    DIAGNOSTIC CHECKLIST

                    • Image Interpretation Pearls

                      Selected References

                      1. Kousik V et al: Hepatobiliary scintigraphy-Role in preliminary diagnosis and management of biliary tract injuries. Clin Nucl Med. 45(1):e1-e7, 2020
                      2. Cohen JT et al: An update on iatrogenic biliary injuries: Identification, classification, and management. Surg Clin North Am. 99(2):283-99, 2019
                      3. Matesan M et al: Biliary leak in the postsurgical abdomen: A primer to HIDA scan interpretation. Semin Nucl Med. 47(6):618-29, 2017
                      4. Melamud K et al: Biliary imaging: multimodality approach to imaging of biliary injuries and their complications. Radiographics. 34(3):613-23, 2014
                      5. Arun S et al: Added value of SPECT/CT over planar Tc-99m mebrofenin hepatobiliary scintigraphy in the evaluation of bile leaks. Nucl Med Commun. 34(5):459-66, 2013
                      Related Anatomy
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                      Related Differential Diagnoses
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                      References
                      Tables

                      Tables

                      KEY FACTS

                      • Terminology

                        • Imaging

                          • Diagnostic Checklist

                            TERMINOLOGY

                            • Definitions

                              • Focal collection or free flow of bile into abdomen
                                • Usually postsurgical complication

                            IMAGING

                            • General Features

                              • Imaging Recommendations

                                DIFFERENTIAL DIAGNOSIS

                                  PATHOLOGY

                                  • General Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Kousik V et al: Hepatobiliary scintigraphy-Role in preliminary diagnosis and management of biliary tract injuries. Clin Nucl Med. 45(1):e1-e7, 2020
                                          2. Cohen JT et al: An update on iatrogenic biliary injuries: Identification, classification, and management. Surg Clin North Am. 99(2):283-99, 2019
                                          3. Matesan M et al: Biliary leak in the postsurgical abdomen: A primer to HIDA scan interpretation. Semin Nucl Med. 47(6):618-29, 2017
                                          4. Melamud K et al: Biliary imaging: multimodality approach to imaging of biliary injuries and their complications. Radiographics. 34(3):613-23, 2014
                                          5. Arun S et al: Added value of SPECT/CT over planar Tc-99m mebrofenin hepatobiliary scintigraphy in the evaluation of bile leaks. Nucl Med Commun. 34(5):459-66, 2013