Clinical Nuclear Medicine · 1987 · 26 citations · 0 references
MedicineRadiologyDiagnostic ImagingDiagnostic RadiologyHepatologyAbdominal ImagingAbdominal RadiologyGastrointestinal ImagingGastrointestinal RadiologyHepatobiliary ImagingHepatobiliary SurgeryBile Duct ImagingBiliary UltrasonographyGallbladder AnatomyGallbladder DrainageGallbladder UltrasonographyHepatic Function TestsPeritoneal Signs AssessmentRadioactivity Measurement
A 79-year-old female was admitted with RLQ abdominal pain for 24 hours. The pain gradually localized in the RUQ prior to admission. Peritoneal signs were noted. Liver function tests were normal. DISIDA hepatobiliary scan revealed a patent common bile duct without visualization of the gallbladder. A photopenic area was observed in the right lower portion of the liver. Delayed 5-1/2 hour images showed a focal accumulatipn of radioactivity medial to the photopenic area that was believed to be nonfilling of the gallbladder with accumulation of activity in the cystic duct. Follow-up ultrasonogram revealed an enlarged gallbladder (10.8 cm longitudinal diameter). Surgery was performed the following day and volvulus of gallbladder near the cystic duct was corrected by cholecystectomy.