[en] Full text: With increase in no. of laparoscopic cholecystectomy being done over open cholecystectomy, the incidence in bile duct injury has been more frequently reported. The incidence being 0.1% for open cholecystectomy to about 0.3 to 2% for laparoscopic cholecystectomy. Definitive treatment requires the specific localization of the site of bile leak. The present study was aimed to find out the added value of SPECT/CT, if any, over planar hepatobiliary scintigraphy in patients with suspected bile leak after surgery. Methods: A total of 17 patients suspected of bile leak clinically were referred for hepatobiliary scintigraphy (HIDA) for confirmation and site of bile leak after gall bladder/GI surgery. The study was undertaken from 2009 to 2010. All the patients who had clear bile leak on planar scintigraphy were not included in this study. Only those doubtful cases where SPECT/CT was done in addition to planar imaging were reviewed. There were 11 males and 6 females. Result: Of 17 patients, 16 had bile leak and 1 had normal study based on scintigraphy and clinical follow-up. Of 16 patients who had bile leak, planar scintigraphy was positive for bile leak in 11 patients, while it has no leak in 5 patients. Hepatobiliary SPECT/CT was positive in all 16 patients, including 5 patients who had no leak on planar scintigraphy. Therefore, SPECT/CT was helpful in detecting bile leak in 5 cases. Conclusion: Hepatobiliary scintigraphy is a useful and accurate technique for the detection and localization of the site of bile leak, however, it can miss small bile leak. Hepatobiliary SPECT/CT found to have higher sensitivity in detection of bile leak than planar Hepatobiliary scintigraphy and can detect even small bile leak after surgery