Research Institute for Nuclear Medicine, Tehran University of Medical Sciences, Tehran, Iran
Hepatobiliary scintigraphy is a sensitive method for intra & extera hepatic bile leak diagnosis. Bile lead may be seen after hepatobiliary surgery, trauma, inflammatory disease or malignant neoplasms. Although sonography and CT scanning are useful for diagnosis of peritoneal or perihepatic fluid, they cannot prove bile ascites. Hepatobiliary scintigraphy with Tc-99m-IDA agents is a physiologic and noninvasive test to confirm bile leak.