| CASE REPORT |
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| Year : 2019 | Volume
: 24
| Issue : 2 | Page : 61-64 |
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Laparoscopic cholecystectomy for ultrasound normal gallbladders: Should we forego hepatobiliary iminodiacetic acid scans?
Judith Roger, Thomas Heeley, Wendy Graham, Anna Walsh
Centre for Rural Health Studies, Faculty of Medicine, Memorial University of Newfoundland, Canada
Correspondence Address:
Dr. Judith Roger
Centre for Rural Health Studies, Faculty of Medicine, Memorial University of Newfoundland
Canada
 Source of Support: None, Conflict of Interest: None  | 2 |
DOI: 10.4103/CJRM.CJRM_28_18
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Introduction: Hepatobiliary iminodiacetic acid (HIDA)-radionuclear scans are used to diagnose biliary dyskinesia, the treatment for which is a laparoscopic cholecystectomy (LC). However, the predictive value of the HIDA scan for LC candidacy is debated.
Case: A physical, ultrasound, and blood test for a 53-year-old woman with biliary dyskinesia-like symptoms were normal, contradicting a textbook history. A HIDA-scan was ordered but the results suggested she was not eligible for a LC. The patient insisted on receiving the procedure and gave informed consent to undergo an elective LC.
Results: Six-weeks post-surgery, the patient's symptoms had ceased besides one short episode of abdominal pain.
Conclusion: A LC relieved the patient's symptoms, suggesting that negative HIDA-scans can mislead correct decisions to perform a LC. Surgeons who receive inconclusive HIDA scan results should consult their patients, and when necessary and agreed-upon, take an informed risk together in an attempt to improve the patient's quality of life.
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