Detection of intraperitoneal bile accumulations: Significance of ultrasonography, CT, and cholescintigraphy

Lorenz, R; Beyer, D.; Peters, P. E.

doi:10.1007/bf01887837

Cited by 9 publications

(4 citation statements)

References 18 publications

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“…Biliary leakage in the acute stages is often asymptomatic, and hepatobiliary imaging is able to diagnose leaks before clinical or laboratory manifestations occur [2]. The radioisotope which has extravasated from the biliary system may pool in the gallbladder fossa or Morrison's pouch, or may flow freely into the peritoneal cavity [3]. Early and delayed views are required in suspicious cases to show the extrahepatic presence and distribution of the radioisotope [2].…”

Section: Discussionmentioning

confidence: 99%

“…Free intraperitoneal bile can cause biliary peritonitis if it is not rapidly diagnosed and treated [1,4]. Although small amounts of sterile intraperitoneal bile are often asymptomatic and of no consequence, larger amounts of bile or the development of secondary infection can be life-threatening [3].…”

Section: Discussionmentioning

confidence: 99%

“…While computed tomography and ultrasound are sensitive tests for detecting the presence of intraperitoneal fluid [3,6], they are not accurate in differentiating among ascites, blood, bile, pus, urine, or lymph [3]. Furthermore, hepatobiliary radionuclide imaging is more accurate than cornputed tomography or ultrasound for determining the site of a biliary leak.…”

Section: Discussionmentioning

confidence: 99%

“…Bile leaks have been reported as complications of elective cholecystectomy, blunt and penetrating upper abdominal trauma, liver transplant, liver biopsy, and following perforation of a duodenal ulcer [1][2][3][4][5][6][7][8][9][10].…”

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confidence: 99%

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The use of radionuclide imaging in the evaluation of suspected biliary damage during laparoscopic cholecystectomy

Gelman

Alexander

Zucker

et al. 1991

Gastrointest Radiol

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Laparoscopic cholecystectomy offers a reliable and effective alternative to the standard operative cholecystectomy with reduced morbidity and patient recovery time. We report three cases in which radionuclide hepatobiliary imaging was utilized to evaluate the integrity of the extrahepatic biliary ducts following suspected biliary damage during the procedure, documenting bile leakage in two of the patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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The use of radionuclide imaging in the evaluation of suspected biliary damage during laparoscopic cholecystectomy

Gelman

Alexander

Zucker

et al. 1991

Gastrointest Radiol

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Cytologic diagnosis of bile peritonitis

et al. 1996

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Bile peritonitis (BP) is a rare but acute and serious condition that may be associated with high mortality. BP results from generalized or localized leakage of bile into the peritoneal cavity. At best, radiologic studies may be suggestive of BP. We observed a spectrum of cytologic findings in aspirated peritoneal fluids (PF) from 3 patients with BP. Occasional bile pigment‐laden macrophages, extracellular lakes of green stringy material admixed with variable numbers of histiocytes, mesothelial cells, and acute and chronic inflammatory cells, were seen. Numerous candida were present in one case. To the best of our knowledge, this is the first report describing the cytologic features of BP. Cytology is a simple, rapid, and cost‐effective means of examining PF, and can therefore play a significant role in establishing the diagnosis of BP. Early recognition of BP can result in rapid, therapeutic intervention that may prevent significant morbidity and mortality. Diagn Cytopathol 1996;14:56–59. © 1996 Wiley‐Liss, Inc.

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Cytological findings in a sample of peritoneal aspirate from a case of bile peritonitis

Gupta

Johnston

Naran

et al. 2004

Diagnostic Cytopathology

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Bile peritonitis (BP) is a rare and serious condition warranting urgent surgical intervention to prevent the high incidence of mortality. BP is ascribed to the leakage of bile into the peritoneal cavity usually due to a perforation of the gallbladder or common bile duct caused by stones or a trauma. The radiological studies are useful in suggesting the diagnosis. The cytological findings of BP have been reported rarely in the literature characterised by the presence of lakes of stringy bile material admixed with variable numbers of histiocytes, mesothelial cells, and some inflammatory cells. Recently, we have examined an aspirate sample of peritoneal fluid (PF) obtained under ultrasound guidance in a case of BP ascribed to the perforation of the gallbladder in a 19-yr-old female patient in which apart from occasional bile pigment-laden macrophages admixed with a few mesothelial cells and inflammatory cells, numerous crystalline structures of varying shapes, sizes, and colour with birefringence along with some microspheroliths were found. At operation, the abdominal cavity showed a large amount of bile and the gallbladder specimen showed two perforations and gangrenous cholecystitis with numerous yellow-brown somewhat friable stones. The foregoing findings in the aspirate appeared to be of interest because to the best of our knowledge, numerous crystalline structures along with the cytological features of BP have not been described in the English literature.

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Detection of intraperitoneal bile accumulations: Significance of ultrasonography, CT, and cholescintigraphy

Cited by 9 publications

References 18 publications

The use of radionuclide imaging in the evaluation of suspected biliary damage during laparoscopic cholecystectomy

The use of radionuclide imaging in the evaluation of suspected biliary damage during laparoscopic cholecystectomy

Cytologic diagnosis of bile peritonitis

Cytological findings in a sample of peritoneal aspirate from a case of bile peritonitis

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