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This case study of a patient with liver trauma demonstrates a direct bile leak sign leading to recognition of an exact bile leakage site from the left intrahepatic duct It uses a radioactive tracer injected into the bloodstream, allowing healthcare providers to capture images of the liver and bile ducts for diagnosis. Several imaging modalities can be used in the diagnosis of postoperative biliary leaks and bilomas
Figure 2 from Biliary Leak in the Postsurgical Abdomen: A Primer to HIDA Scan Interpretation
These modalities include ultrasound (us), computed tomography (ct), magnetic resonance imaging (mri), and nuclear medicine hepatobiliary cholescintigraphy. A bile leak hida scan is a nuclear imaging test that evaluates the liver and biliary system to identify bile leaks Typically, drainage bags should be imaged
If it is not clear which bag is draining bile/gallbladder fossa, consult with the patient’s nurse or the radiologist.
To diagnose a bile duct leak, we begin with a comprehensive exam and collecting a thorough history Blood work is typically ordered to look at issues including elevated liver enzymes A biliary study called a hepatobiliary (hida) scan may be ordered A hida scan shows the flow of bile from the liver to the small intestine.
A healthcare professional might use a hida scan as part of a test to measure the rate at which bile is released from your gallbladder, a process known as gallbladder ejection fraction.
