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Evaluation of a Liver Transplant by Tc-99m Dimethyl-IDA Scintigraphy

Hôpital do Pontchaillou, Rennes, France

Correspondence: For reprints contact: J. Y. Herry, MD, Laboratoire de Medecine Nucleaire, Centre Eugene Marquis, Hôpital de Pontchaillou, 35011 Rennes Cedex, France.

ABSTRACT

In liver-transplant patients, it is always difficult to differentiate between rejection crises and extrahepatic biliary obstruction on the basis of standard biochemical tests alone. A case is reported of a patient who received a transplant following total hepatectomy performed because of a hepatoma. Scintigraphy with Tc-99m N-(dimethylphenylcarbamoylmethyl)iminodiacetic acid pointed conclusively to an obstructive process, which was confirmed at re-operation.