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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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
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Abstract 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.
AbstractList 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.
Author Jarboe, G
Bobba, V. R
Haines, J. E
Krishnamurthy, G. T
Mesgarzadeh, M
Von Dollen, L. E
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/6631523$$D View this record in MEDLINE/PubMed
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Snippet A male Pickwickian syndrome patient was admitted to the hospital with sudden onset of abdominal pain. Physical examination was equivocal. Due to patient's...
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SubjectTerms Adult
Gallbladder Diseases - diagnostic imaging
Gallbladder Diseases - etiology
Humans
Imino Acids
Male
Obesity Hypoventilation Syndrome - complications
Organotechnetium Compounds
Radionuclide Imaging
Rupture, Spontaneous
Technetium
Title Diagnosis of Clinically Unsuspected Gallbladder Perforation in an Obese Patient, by Tc-99m IDA cholescintigraphy
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