Diagnosis of Clinically Unsuspected Gallbladder Perforation in an Obese Patient, by Tc-99m IDA cholescintigraphy

A male Pickwickian syndrome patient was admitted to the hospital with sudden onset of abdominal pain. Physical examination was equivocal. Due to patient's ileus and morbid obesity (weight 450 lb), neither TCT scan nor ultrasound was possible. A Tc-99m PIPIDA hepatobiliary imaging study revealed...

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Bibliographic Details
Published in:	The Journal of nuclear medicine (1978) Vol. 24; no. 11; pp. 1028 - 1029
Main Authors:	Mesgarzadeh, M, Haines, J. E, Bobba, V. R, Von Dollen, L. E, Jarboe, G, Krishnamurthy, G. T
Format:	Journal Article
Language:	English
Published:	United States Soc Nuclear Med 01-11-1983
Subjects:	Adult Gallbladder Diseases - diagnostic imaging Gallbladder Diseases - etiology Humans Imino Acids Male Obesity Hypoventilation Syndrome - complications Organotechnetium Compounds Radionuclide Imaging Rupture, Spontaneous Technetium
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Summary:	A male Pickwickian syndrome patient was admitted to the hospital with sudden onset of abdominal pain. Physical examination was equivocal. Due to patient's ileus and morbid obesity (weight 450 lb), neither TCT scan nor ultrasound was possible. A Tc-99m PIPIDA hepatobiliary imaging study revealed intraperitoneal leakage of radioactive bile with collection of the activity in both abdominal gutters, indicating gallbladder rupture. Prompt surgery confirmed the diagnosis.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0161-5505 1535-5667