Case Author(s): Jerold Wallis, M.D. , Keith Fischer, M.D. , 9/27/96 . Rating: #D2, #Q4

Diagnosis: Biliary leak

Brief history:

Abdominal pain


Sequential images at 10 minute intervals. All are anterior expect for the last image, which is a right lateral view.

View main image(hs) in a separate image viewer

Full history/Diagnosis is available below

Diagnosis: Biliary leak

Full history:

The patient is status post liver transplant, and is having abdominal pain following pulling of the T-tube.


Tc-99m Mebrofenin


Progressive accumulation of tracer is seen below the liver in an abnormal distribution. This pattern of activity does not correspond to the expected configuration of the gallbladder. No definite tracer is seen to pass into bowel.


This finding indicates a bile leak.

ACR Codes and Keywords:

References and General Discussion of Hepatobiliary Scintigraphy (Anatomic field:Gasterointestinal System, Category:Inflammation,Infection)

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Case number: hs009

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