Intermittent common bile duct obstruction at ampulla of Vater due to chicken bone impaction: diagnosis by hepatobiliary imaging

Clin Nucl Med. 1981 Feb;6(2):59-61. doi: 10.1097/00003072-198102000-00003.


A patient with intermittent ascending cholangitis was evaluated for extrahepatic biliary obstruction with Tc-99m-pyridoxylidene glutamate. Imaging demonstrated incomplete obstruction of the distal common bile duct. At surgery, a chicken bone was found to be impacted at the ampulla of Vater in the afferent limb of a Billroth II gastroenterostomy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Ampulla of Vater*
  • Cholangiography
  • Cholangitis / diagnosis
  • Common Bile Duct / diagnostic imaging*
  • Foreign Bodies / diagnostic imaging*
  • Glutamates*
  • Humans
  • Liver / diagnostic imaging
  • Male
  • Organotechnetium Compounds*
  • Pyridoxal / analogs & derivatives*
  • Radionuclide Imaging
  • Technetium*


  • Glutamates
  • Organotechnetium Compounds
  • technetium Tc 99m pyridoxylidene glutamate
  • Pyridoxal
  • Technetium