Cholescintigraphy in AIDS-related cholangitis: a case report. NLM AIDSLINE Important note: Information in this article was accurate in 1990. The state of the art may have changed since the publication date.

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Cholescintigraphy in AIDS-related cholangitis: a case report.

Clin Nucl Med. 1989 Oct;14(10):725-7. Unique Identifier : AIDSLINE MED/90031238
Kolin E; Mena IG; Department of Radiology, UCLA School of Medicine, Harbor-UCLA; Medical Center, Torrance 90509.

Abstract: Acalculous inflammatory biliary disease has been reported in patients with acquired immune deficiency syndrome (AIDS). AIDS-related cholangitis manifests the intrahepatic and extrahepatic biliary changes seen in sclerosing cholangitis, including strictures, dilatation, and decreased arborization. Biliary scanning was used to evaluate a patient with suspected AIDS-related cholangitis. The hepatobiliary images showed prompt hepatic uptake, with nonvisualization of the gallbladder, common bile duct, and bowel at two hours. Thus, the overall hepatic clearance time approached infinity. There was also a central photopenic region at the porta hepatis. ERCP confirmed the diagnosis of AIDS-related cholangitis. Infection with cytomegalovirus is the proposed etiology. AIDS-related cholangitis should be included in the differential diagnosis of an obstructive cholescintigraphic pattern.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Case Report Cholangiopancreatography, Endoscopic Retrograde Cholangitis/*COMPLICATIONS/RADIONUCLIDE IMAGING Common Bile Duct/RADIONUCLIDE IMAGING Gallbladder/RADIONUCLIDE IMAGING Human Imino Acids Liver/RADIONUCLIDE IMAGING Male Organotechnetium Compounds JOURNAL ARTICLEKWDacquiredimmunodeficiencysyndrome/KWDcomplicationsadultcasereportcholangiopancreatography,endoscopicretrogradecholangitis/KWDcomplications/radionuclideimagingcommonbileduct/radionuclideimaginggallbladder/radionuclideimaginghumaniminoacidsliver/radionuclideimagingmaleorganotechnetiumcompoundsjournalarticle
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M9020531

Copyright © 1990 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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