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American Journal of Roentgenology, Vol 128, Issue 5, 769-771
Copyright © 1977 by American Roentgen Ray Society

Articles

Serial scintigraphy of choledochal cysts using 131I-rose bengal and 131I-bromsulphalein

Y Oshiumi, C Nakayama, K Morita, Y Numaguchi, I Koga, and K Matsuura

Nine cases of congenital choledochal cysts are reported which were correctly diagnosed by 131I-rose bengal or 131I-bromsulphalein (BSP) serial scintigraphy. They were classified by scintigraphic patterns into two types depending on whether biliary obstruction was complete or incomplete. All but two showed incomplete obstruction. The correct diagnosis may be difficult to make by scintigraphy if complete biliary obstruction is present. In such cases the clinical findings and other diagnostic studies, such as angiography or ultrasound, should be carefully considered. Serial scintigraphy with 131I-rose bengal or 131I-BSP is nontraumatic, safe, and provides increased diagnostic accuracy. It is the examination of choice when choledochal cysts are suspected clinically.
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M. S. Metcalfe, S. A. Wemyss-Holden, and G. J. Maddern
Management Dilemmas With Choledochal Cysts
Arch Surg, March 1, 2003; 138(3): 333 - 339.
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Copyright © 1977 by the American Roentgen Ray Society.