PMID- 28969760 OWN - NLM STAT- MEDLINE DCOM- 20180510 LR - 20181202 IS - 1558-4623 (Electronic) IS - 0001-2998 (Linking) VI - 47 IP - 6 DP - 2017 Nov TI - Biliary Leak in the Postsurgical Abdomen: A Primer to HIDA Scan Interpretation. PG - 618-629 LID - S0001-2998(17)30051-X [pii] LID - 10.1053/j.semnuclmed.2017.06.002 [doi] AB - Postsurgical bile leaks can be associated with significant morbidity and even mortality, if not identified and treated at an early phase. Hepatobiliary iminodiacetic acid (HIDA) scan is an important test for detection of bile leaks in the postoperative abdomen. However, the lack of anatomical details on planar images can make interpretation difficult, especially in the setting of altered postsurgical anatomy. Familiarity with the expected postoperative appearance on HIDA scan and correlation with SPECT/CT or other imaging modalities when available are very important. The purpose of this review is to describe the expected findings on HIDA scan after common major abdominal surgeries that involve a change in biliary tree anatomy, and illustrate how to identify biliary leaks and avoid interpretation pitfalls. CI - Published by Elsevier Inc. FAU - Matesan, Manuela AU - Matesan M AD - University of Washington, Seattle, WA. Electronic address: mmatesan@u.washington.edu. FAU - Bermo, Mohammed AU - Bermo M AD - University of Washington, Seattle, WA. FAU - Cruite, Irene AU - Cruite I AD - Inland Imaging, Spokane, WA. FAU - Shih, Cheng-Han AU - Shih CH AD - University of Montreal, Montreal, Quebec, Canada. FAU - Elojeimy, Saeed AU - Elojeimy S AD - University of New Mexico, Albuquerque, NM. FAU - Behnia, Fatemeh AU - Behnia F AD - University of Washington, Seattle, WA. FAU - Lewis, David AU - Lewis D AD - University of Washington, Seattle, WA. FAU - Vesselle, Hubert AU - Vesselle H AD - University of Washington, Seattle, WA. LA - eng PT - Journal Article PT - Review DEP - 20170725 PL - United States TA - Semin Nucl Med JT - Seminars in nuclear medicine JID - 1264464 SB - IM MH - Abdomen MH - Bile Duct Diseases MH - Biliary Tract/*diagnostic imaging MH - Humans MH - Postoperative Complications/*diagnostic imaging MH - *Radionuclide Imaging EDAT- 2017/10/04 06:00 MHDA- 2018/05/11 06:00 CRDT- 2017/10/04 06:00 PHST- 2017/10/04 06:00 [entrez] PHST- 2017/10/04 06:00 [pubmed] PHST- 2018/05/11 06:00 [medline] AID - S0001-2998(17)30051-X [pii] AID - 10.1053/j.semnuclmed.2017.06.002 [doi] PST - ppublish SO - Semin Nucl Med. 2017 Nov;47(6):618-629. doi: 10.1053/j.semnuclmed.2017.06.002. Epub 2017 Jul 25.