Bile Collection Detected With BrIDA Scintigraphy in a Patient With Hepatocellular Carcinoma. (November 2018)

• Record Type: Journal Article
• Authors: Maccora, Daria; Di Giuda, Daniela; Ponziani, Francesca Romana; Pompili, Maurizio; Valenza, Venanzio
• Is Part Of: Clinical nuclear medicine. Volume 43:Number 11(2018)
• Publication Date: 2018-11
• Subjects: hepatocellular carcinoma -- liver -- bile collection -- BrIDA -- scintigraphy; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000002272
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract : Abstract: A 47-year-old man, with a history of anabolic steroid abuse, developed hepatic adenomatosis and multifocal hepatocellular carcinoma. He underwent ultrasound and CT follow-up, showing multiple solid and fluid hepatic lesions. Consequently, hospitalization was required because of high fever (up to 39°C), weakness, and anorexia. An abdominal CT scan revealed an enlargement of one of the intrahepatic fluid collections. Biochemical and microbiological analyses of a fluid sample showed bilirubin and bile acids as well as Streptococcus cristatus and Enterobacter cloacae . Thus, the patient underwent 99m Tc-trimethylbromo-iminodiacetic acid scintigraphy, demonstrating bile collection in the lesion with a flow from a bile duct.