원저 : 총담관낭종의 99mTc - DISIDA 간담도 스캔 ( Scintigraphic Features of Choledochal Cyst Using Technetium - 99m - DISIDA Hepatobiliary Scan ) () |
Author |
최정일(Chung Il Choi),김정균(Jeong Gyun Kim),배선근(Sun Kun Bae),곽동석(Dong Suk Kwak),정병천(Byung Cheon Chung),이재태(Jae Tae Lee),이규보(Kyu Bo Lee),전석길(Seok Kil Zeon),이형우(Hyung Woo Lee), |
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Affiliation |
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Abstract |
In order to evaluate the scintigraphic features of
choledochal cyst and these diagnostic value, authors
investigated the findings of fourteen patients with
choledochal cyst undergone hepatobiliary scan with Tc-
99m-DISIDA before surgery. Five cases demonstrated the
decreased hepatic uptake at 5-minute image of which
four cases revealed severe jaundice. Seven cases
demonstrated visualization of the cystic dilated common
bile duct within 1 hour after injection. Two cases
showed the cyst activity between 1 and 12 hour, but the
cyst activity was not visible in five cases.
Nonvisualization of the gall bladder was noted in ten
cases, while four cases demonstrated visualization of
the gall bladder within 1 hour. The time of
visualization of gut activity was variably delayed. The
intestinal activity was found in three cases within 1
hour and appeared in three cases between 1 and 2 hours
and eight cases showed no visible gut activity. In four
cases, intrahepatic ductal prominence was visible on
the scintigram. Seven cases showed early and persistent
accumulation of tracer in the common bile duct. Three
cases showed persistent photon-deficient area in the
gall bladder region. Two cases showed early photon-
deficient area around gall bladder region with
progressive accumulation of tracer in the same region.
Two cases showed no evidence of activity in the biliary
tract but noted late excretion into the sma11
intestine. We concluded that hepatobiliary scan using
Tc-99m-DISIDA is a noninvasive test useful in the
eva1uation and the diagnosis of choledochal cyst. |
Keyword |
Choledochal Cyst, 99mTe-DISIDA hepatobiliary scan |
Full text Article |
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