Bile Collection Detected with BrIDA Scintigraphy in a Patient with Hepatocellular Carcinoma

Daria MacCora, Daniela Di Giuda, Francesca Romana Ponziani, Maurizio Pompili, Venanzio Valenza

Research output: Contribution to journalArticlepeer-review

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 99mTc-trimethylbromo-iminodiacetic acid scintigraphy, demonstrating bile collection in the lesion with a flow from a bile duct.

Original languageEnglish
Pages (from-to)823-824
Number of pages2
JournalClinical Nuclear Medicine
Volume43
Issue number11
DOIs
Publication statusPublished - Nov 1 2018

Keywords

  • bile collection
  • BrIDA
  • hepatocellular carcinoma
  • liver
  • scintigraphy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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