Choledochal cyst mimicking gallbladder in Tc-99m disofenin radionuclide cholescintigraphy

A 6-year-old girl suffered from intermittent abdominal pain and bile-stained vomiting after undergoing cholecystectomy for perforated gallbladder and bile peritonitis when she was 2 years old. The interesting finding of her choledochal cyst, which was visualized 5 minutes after the injection of Tc-99m disofenin and contracted well after an egg meal, is reported. This finding is inconsistent with those of early reports, which emphasized delayed filling and stasis of radioactivity in the dilated cyst. This case, together with more recent reports in this field, suggests that nuclear images of choledochal cyst, like its clinical presentation, may be quite variable.