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Gastroesophageal Reflux Demonstrated by Hepatobiliary Imaging in Scleroderma

Departments of Nuclear Medicine, The University of Texas Health Science Center
Wilford Hall USAF Medical Center, San Antonio, Texas

Correspondence: For reprints contact: Nabih W. Sawaf, MD, Dept of Nuclear Medicine, The University of Texas Health Science Center, at San Antonio, 7703 Floyd Curl Dr., San Antonio, TX 78284.

ABSTRACT

Radionuclide hepatobiliary imaging was performed on a patient with a longstanding history of scleroderma who presented with abdominal pain suggestive of biliary disease. Cystic duct patency was documented after 10 min with tracer accumulation in the second portion of the duodenum which failed to progress consistent with the duodenal hypomotility of scleroderma. The patient was given intravenous Kinevac resulting in gastroesophageal reflux of radionuclide.