99mTc-trimethyl-BrIDA Scintigraphy in HIV-related Cholangiopathy
| Autor: | Thomas M. Behr, H. J. Bair, F. Wolf, A. Rubbert, Wolfgang Becker |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Human cytomegalovirus
medicine.medical_specialty medicine.diagnostic_test biology business.industry Human immunodeficiency virus (HIV) Histology General Medicine medicine.disease biology.organism_classification Scintigraphy Bile fluid medicine.disease_cause digestive system Gastroenterology Cholescintigraphy Betaherpesvirinae Internal medicine Cholecystitis medicine Radiology Nuclear Medicine and imaging business |
| Zdroj: | Nuklearmedizin. 34:252-254 |
| ISSN: | 2567-6407 0029-5566 |
| DOI: | 10.1055/s-0038-1629723 |
| Popis: | SummaryA HIV-infected 37-year-old man with diffuse mid-abdominal pain and elevated liver enzymes was sequentially studied by sonography, computed tomography (CT), 99mTc-trimethyl-BrlDA scintigraphy and endoscopic retrograde cholangiopancreatography (ERCP). CT and sonography did not lead to a final diagnosis. Cholescintigraphy showed signs of cholecystitis and sclerosing cholangitis with intra- and extrahepatic bile duct dilatation. These findings could be confirmed by ERCP, rendering HIV-associated cholepathy probable. Cytomegalovirus infection was demonstrated by polymerase chain reaction from bile fluid and the presence of Cryptosporidia infection in a histology specimen isolated by ERCP. Therefore, biliary scintigraphy seems promising for screening for HIV-associated cholangio-and cholecystopathy, being less invasive and less bothering for the patient than ERCP. |
| Databáze: | OpenAIRE |
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