PMID- 30924462
OWN - NLM
STAT- MEDLINE
DCOM- 20191009
LR  - 20220408
IS  - 1488-237X (Electronic)
IS  - 1203-7796 (Linking)
VI  - 24
IP  - 2
DP  - 2019 Apr-Jun
TI  - Laparoscopic cholecystectomy for ultrasound normal gallbladders: Should we forego 
      hepatobiliary iminodiacetic acid scans?
PG  - 61-64
LID - 10.4103/CJRM.CJRM_28_18 [doi]
AB  - INTRODUCTION: Hepatobiliary iminodiacetic acid (HIDA)-radionuclear scans are used 
      to diagnose biliary dyskinesia, the treatment for which is a laparoscopic 
      cholecystectomy (LC). However, the predictive value of the HIDA scan for LC 
      candidacy is debated. CASE: A physical, ultrasound, and blood test for a 
      53-year-old woman with biliary dyskinesia-like symptoms were normal, 
      contradicting a textbook history. A HIDA-scan was ordered but the results 
      suggested she was not eligible for a LC. The patient insisted on receiving the 
      procedure and gave informed consent to undergo an elective LC. RESULTS: Six-weeks 
      post-surgery, the patient's symptoms had ceased besides one short episode of 
      abdominal pain. CONCLUSION: A LC relieved the patient's symptoms, suggesting that 
      negative HIDA-scans can mislead correct decisions to perform a LC. Surgeons who 
      receive inconclusive HIDA scan results should consult their patients, and when 
      necessary and agreed-upon, take an informed risk together in an attempt to 
      improve the patient's quality of life.
FAU - Roger, Judith
AU  - Roger J
AD  - Centre for Rural Health Studies, Faculty of Medicine, Memorial University of 
      Newfoundland, Canada.
FAU - Heeley, Thomas
AU  - Heeley T
AD  - Centre for Rural Health Studies, Faculty of Medicine, Memorial University of 
      Newfoundland, Canada.
FAU - Graham, Wendy
AU  - Graham W
AD  - Centre for Rural Health Studies, Faculty of Medicine, Memorial University of 
      Newfoundland, Canada.
FAU - Walsh, Anna
AU  - Walsh A
AD  - Centre for Rural Health Studies, Faculty of Medicine, Memorial University of 
      Newfoundland, Canada.
LA  - eng
PT  - Case Reports
PL  - India
TA  - Can J Rural Med
JT  - Canadian journal of rural medicine : the official journal of the Society of Rural 
      Physicians of Canada = Journal canadien de la medecine rurale : le journal 
      officiel de la Societe de medecine rurale du Canada
JID - 9708550
RN  - 0 (Imino Acids)
RN  - XQM2L81M8Z (iminodiacetic acid)
SB  - IM
MH  - Biliary Dyskinesia/*diagnostic imaging
MH  - Biliary Tract/diagnostic imaging
MH  - Cholecystectomy, Laparoscopic
MH  - Female
MH  - Gallbladder/diagnostic imaging
MH  - Humans
MH  - Imino Acids
MH  - Liver/diagnostic imaging
MH  - Middle Aged
MH  - Predictive Value of Tests
MH  - Radionuclide Imaging/*methods
MH  - Ultrasonography
OTO - NOTNLM
OT  - Biliary dyskinesia
OT  - HIDA scan
OT  - acalculous cholecystitis
OT  - chronic cholecystitis without stones
OT  - gallbladder dysfunction
OT  - symptomatic ultrasound normal gallbladders
COIS- None
EDAT- 2019/03/30 06:00
MHDA- 2019/10/11 06:00
CRDT- 2019/03/30 06:00
PHST- 2019/03/30 06:00 [entrez]
PHST- 2019/03/30 06:00 [pubmed]
PHST- 2019/10/11 06:00 [medline]
AID - CanJRuralMed_2019_24_2_61_254795 [pii]
AID - 10.4103/CJRM.CJRM_28_18 [doi]
PST - ppublish
SO  - Can J Rural Med. 2019 Apr-Jun;24(2):61-64. doi: 10.4103/CJRM.CJRM_28_18.