XXXX in liver transplantation. Accurate diagnosis and treatment.

@entity1 @entity154 @entity281 @entity2719 @entity733 @entity253 @entity99
Serial HIDA scanning was performed on a @entity1 following liver transplantation. During the @entity1 's course he developed @entity253 that manifested as a photopenic region in the liver, on the HIDA scan which filled in on the delayed views. The @entity1 subsequently developed a region in the superior portion of the right lobe of the liver that did not fill in with activity on delayed views. The @entity1 was experiencing low-grade fevers and was clinically believed to have either an @entity733 or an episode of rejection. A gallium scan was performed revealing a @entity154 in the same region as the HIDA. Because of the clinical suspicion of @entity733 , a percutaneous transhepatic drainage study was performed, revealing a large @entity733 cavity in the suspect area within the liver. Following the drainage the @entity1 did well. This case illustrates the usefulness of serial HIDA scanning in @entity1 who have received liver transplants. It also is important to note that the @entity2719 scan was negative in this @entity99 . In the authors' opinions, the finding of an intrahepatic fluid collection in a septic @entity1 that does not fill with activity on the HIDA study, should be considered the source of the @entity281 , until proven otherwise, and should be drained regardless of the findings of other studies.
