Persistent and Intense Activity in Multiple Loops of Small Bowel: Occurrence in a Hepatobiliary Examination and a Radiogallium Study

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Two cases are presented in which radiotracer, both intense and persistent, was seen in multiple loops of small intestine. The first was in a man who, several days after laparoscopic cholecystectomy, noted mild abdominal distress. Hepatobiliary imaging revealed a small bile leak. Many loops of small intestine were seen to contain the radiotracer. In the second case, a 71-year-old woman was febrile without an obvious cause. A radiogallium examination revealed loops of small intestine that persisted for several days. Blood cultures grew an Enterobacter. These cases likely represent entry of radiotracer into the small intestine and persistence because of impaired motility.

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