Liver cysts associated with polycystic kidney disease: role of Tc-99m hepatobiliary imaging.

Abstract:

:A 42-year-old woman with multiple hepatic cysts associated with autosomal polycystic kidney disease was evaluated for abdominal discomfort and new liver test abnormalities following blind aspirations of her liver cysts. Tc-99m mebrofenin hepatobiliary imaging revealed a markedly enlarged liver with multiple photon deficient areas, focal retention of isotope in the left hepatic ductal system, no accumulation of radionuclide in cysts, and an unusual medial gallbladder position. Endoscopic retrograde cholangiography confirmed all of these findings. Abdominal discomfort and liver biochemical abnormalities were attributed to cyst compression of nearby structures, including bile ducts. Hepatobiliary imaging is useful to exclude communication of bile ducts with hepatic cysts, to detect incidental abnormalities such as partial bile duct obstruction, and to distinguish the gallbladder from nearby hepatic cysts.

journal_name

Clin Nucl Med

authors

Salam M,Keeffe EB

doi

10.1097/00003072-198911000-00003

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

803-7

issue

11

eissn

0363-9762

issn

1536-0229

journal_volume

14

pub_type

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