The Teaching Point

The hepatobiliary system should be examined carefully on CT if intravenous contrast was administered for a recent prior study as vicarious excretion may disclose otherwise occult pathology.






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From the manuscript

Visualization of Noncalcified Gallstones on CT Due to Vicarious Excretion of Intravenous Contrast

Free full text article: Visualization of Noncalcified Gallstones on CT Due to Vicarious Excretion of Intravenous Contrast

Abstract
We present a case where low attenuation gallstones are visible on CT only on delayed imaging secondary to gallbladder opacification from vicarious excretion of contrast. We discuss heterotopic accumulation of contrast in the gallbladder and its potential diagnostic utilization in the detection of occult pathology.






References



1. Yamazaki H, Oi H, Matsushita M, Inoue T, Teshime T, Murayama S, Nose T, Koizumi T, Tanaka E. Inoue T. Gallbladder opacification 12-24 h after angiography by CT examination: a multivariate analysis Abdom Imaging 1996; 21: 507-511.
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2. Kim SR, Sant GR , Heaney JA. Vicarious excretion of urographic contrast in a multiple trauma patient. Br J Urol 1987; 59: 482-483.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Lautin EM, Friedman AC. Vicarious excretion of contrast media. JAMA 1982; 247: 1608-1610.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Havrilla TR, Reich NE, Haaga JR, Seidelmann FE, Cooperman AM, Alfidi, RJ. Computed tomography of the gallbladder. AJR 1978; 130: 1059-1067.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Holloway H, Nance EP, Burks D, Winfield AC. Vicarious excretion of contrast medium in patients without azotemia. Urology 1985; 25: 201-203.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Mitchell DG, Friedman AC, Druy EM. Hepatic excretion of urographic contrast medium: use in delineating intrahepatic cholangiocarcinoma on scans delayed for 2 hours. J Comput Tomogr 1985; 9: 173-175.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Hopper KD, Weingast G, Rudikoff J, Thickman D. Vicarious excretion of water-soluble contrast media into the gallbladder in patients with normal serum creatinine. Invest Radiol 1988; 23: 604-608.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Yamazaki H, Oi H, Matsushita M, Kim T, El-Baradie M, Inoue T, Koizumi M, Nose T, Tamaka E, Nakamura H, Inoue T. Lack of correlation between gallbladder opacification in delayed CT and contrast-associated nephropathy. Eur Radiol 1997; 7: 1328-1331.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Schirmer BD., Winter KL, Edlich RF. Cholelithiasis and Cholecystitis. Journal of Long Term Effects of Medical Implants 2005; 15: 329-38.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Berhhoft RA, Pellegrini CA, Motson RW. Composition and morpholoic and clinical features of common duct stones. Am J Surg 1984; 148: 77-85.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Bova JG, Schwesinger WH, Kurtin WE. In vivo analysis of gallstone composition by computed tomography. Gastrointest Radiol; 1992; 17:253-256.
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12. Lee JK, Kim TK, Byun JH, Kim AY, Ha HK, Kim PN, Lee M. Diagnosis of intrahepatic and common duct stones: combined unenhanced and contrast-enhanced helical CT in 1090 patients. Abdom Imaging 2006; 31: 425-432.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Brink JA, Kammer F, Mueller PR. Prediction of gallstone composition: synthesis of CT and radiographic features in vitro. Radiology 1994; 190:69-75.
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14. Andriulli A, Gremo L, Limerutti G, Bianchi A, Berti E, Arrigoni A, Napolitano G, Cirillo R. Prediction of gallstone compostion by ultrasound: implications for non-surgical therapy. J Stone Dis
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Good LI, Edell SL, Soloway RD, Trotman BW, Mulhern C, Arger PA. Ultrasonic properties of gallstones: effect of stone size and compostion. Gastroenterology 1979; 77(2):258-63.
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