A Case of Congenital Hepatic Fibrosis: Usefulness of Hepatobiliary Scintigraphy

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Abstract
A case of operatively proven congenital hepatic fibrosis was studied by scintigraphy with Tc-99m-phytate and Tc-99m-PI [pyridoxylidene isoleucine] (a hepatobiliary radiopharmaceutical). Two focal defects were recognized in the liver on the colloid liver scintigram. Ultrasound and contrast angiography suggested that the 2 focal defects were cystic lesions. Radionuclide hepatobiliary imaging was performed with Tc-99m-PI, since i.v. cholangiography was unsatisfactory. One focal defect was a dilated intrahepatic bile duct and another was a cyst. Radionuclide hepatobiliary imaging with Tc-99m-PI proved to be very useful in identifying dilated intrahepatic bile ducts in this patient as well as in following the progress of this disease.

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