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Duplicated common bile duct detected by hepatobiliary scintigraphy and SPECT/CT
Conducto biliar común duplicado detectado mediante gammagrafía hepatobiliar y SPECT/CT
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"apellidos" => "Fakhar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:4 [ "nombre" => "R." "apellidos" => "Sadeghi" "email" => array:1 [ 0 => "SadeghiR@mums.ac.ir" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Nuclear Medicine Research Center, Mashhad University of Medical Science, Mashhad, Iran" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Surgery, Mashhad University of Medical Science, Mashhad, Iran" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Conducto biliar común duplicado detectado mediante gammagrafía hepatobiliar y SPECT/CT" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2349 "Ancho" => 2917 "Tamanyo" => 211546 ] ] "descripcion" => array:1 [ "en" => "<p id="spar1055" class="elsevierStyleSimplePara elsevierViewall">Anterior dynamic images of the patient. Arrow points to the aberrant drainage pathway.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 21-year-old woman had a history of multiple traumas with blunt abdominal trauma and rupture of colon and horizontal part (3rd part) of the duodenum following car accident approximately 3 months ago. Because of hemodynamically unstable status she was candidate for delayed restoration of the duodenal rupture. A tube duodenostomy was inserted and feeding jejunostomy was performed during this period. Three months after trauma, she underwent duodenojujenal anastomosis (between jejunum and 2nd part of the duodenum). Due to severe inflammation and adhesions, 3rd part of the duodenum was left in its position without resection. After surgery, biliary discharge was seen from the drainage site of the anastomosis. The patient was suspected of having biliary leakage from the anastomosis area, and underwent a second look surgery, with no problem found at the site of the anastomosis. Ten days later, she was referred to the nuclear medicine department with suspicious bile duct abnormality for hepatobiliary scintigraphy.</p><p id="par0010" class="elsevierStylePara elsevierViewall">After IV injection of technetium-99m-mebrofenin scanning was performed dynamically every 1<span class="elsevierStyleHsp" style=""></span>min for 60<span class="elsevierStyleHsp" style=""></span>min and demonstrated normal hepatic uptake. The intrahepatic and extrahepatic ducts were seen normally and normal excretion of the radiotracer into the intestine after 20<span class="elsevierStyleHsp" style=""></span>min was noted. The scan also showed an aberrant drainage of activity from proximal portion of CBD (arrow). Tracer accumulation in the ostomy bag (due to unrepaired previous feeding jejunostomy) was also noted (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">SPECT/CT images were obtained from abdominal region immediately after dynamic images and showed duplicated common bile ducts (DCBD). The aberrant pathway was connected to the residual portion of duodenum behind Treitz ligament after duodenojejunal anastomosis procedure (dotted arrow). Also a stent was noted in the original pathway (arrow head) (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Among the different anomalies of the biliary system, duplicated common bile duct is very uncommon.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> The latest classification of DCBD was proposed by Choi et al.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> According to this classification, our case showed a type II DCBD.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Biliary scintigraphy is an indispensable tool for biliary tract disease diagnosis.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> Our case shows the importance of biliary scintigraphy and SPECT/CT in localization and detection of aberrant biliary anatomy.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "⋆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Barashki S, Jangjou A, Javan FN, Roustaei HO, Fakhar Y, Sadeghi R. Conducto biliar común duplicado detectado mediante gammagrafía hepatobiliar y SPECT/CT. Rev Esp Med Nucl Imagen Mol. 2022;41:49–50.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2349 "Ancho" => 2917 "Tamanyo" => 211546 ] ] "descripcion" => array:1 [ "en" => "<p id="spar1055" class="elsevierStyleSimplePara elsevierViewall">Anterior dynamic images of the patient. Arrow points to the aberrant drainage pathway.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1373 "Ancho" => 3417 "Tamanyo" => 499042 ] ] "descripcion" => array:1 [ "en" => "<p id="spar20055" class="elsevierStyleSimplePara elsevierViewall">SPECT/CT images of the patient. Duplicated common bile duct is marked by red and dotted arrows. Arrowhead points to the stent in the common bile duct.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Double common bile duct" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D. Teilum" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/s-2007-1018360" "Revista" => array:6 [ "tituloSerie" => "Endoscopy" "fecha" => "1986" "volumen" => "18" "paginaInicial" => "159" "paginaFinal" => "161" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3732185" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Duplication of the extrahepatic bile duct with anomalous union of the pancreaticobiliary ductal system revealed by MR cholangiopancreatography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. Choi" 1 => "J. Byun" 2 => "B. Park" 3 => "M.-G. Lee" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1259/bjr/50929809" "Revista" => array:6 [ "tituloSerie" => "Br J Radiol" "fecha" => "2007" "volumen" => "80" "paginaInicial" => "e150" "paginaFinal" => "e154" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17704313" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous perforation of common bile duct in a pediatric patient: application of hepatobiliary scintigraphy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Joodi" 1 => "N. Norouzbeigi" 2 => "M.A. Rad" 3 => "R. Shojaeian" 4 => "V.R. Kakhki" 5 => "R. Sadeghi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/RLU.0b013e318263928f" "Revista" => array:6 [ "tituloSerie" => "Clin Nucl Med" "fecha" => "2012" "volumen" => "37" "paginaInicial" => "1006" "paginaFinal" => "1008" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22955078" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/0000004100000001/v1_202201040537/S2253808920301130/v1_202201040537/en/main.assets" "Apartado" => array:4 [ "identificador" => "7927" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Interesting images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22538089/0000004100000001/v1_202201040537/S2253808920301130/v1_202201040537/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808920301130?idApp=UINPBA00004N" ]
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