Demonstration of a Biliary-Bronchial Fistula Using Tc-99m P-Butyl IDA Imaging

Savitch, Ina; Kew, Michael C.; Levin, Joseph

doi:10.1097/00003072-198303000-00011

Cited by 8 publications

(1 citation statement)

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“…[1][2][3][4][5][6][7][8] Serial images (1 min/frame for 29 frames) (A) and a static image at 30 minutes (B), all in the anterior position, showed minimal leakage of tracer. Late imaging (2 hours) (C) demonstrated tracer accumulation at both sides of the diaphragm (arrows), which increased over time (4 hours) (D).…”

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confidence: 99%

Bronchobiliary Fistula Detected With Hepatobiliary Scintigraphy

Berk

Çorapçıoğlu²,

Demır³

et al. 2006

Clinical Nuclear Medicine

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Bile leakage into the thoracic cavity is a rare complication of invasive cancer. A 12-year-old boy was diagnosed with undifferentiated sarcoma of the right lobe of the liver invading the diaphragm. An extended right hepatectomy and total resection of the mass was performed, leaving a patchy tumoral invasion at the anterior diaphragmatic surface. Surgery was followed with a combined chemotherapy regimen. In the sixth postoperative month, he was readmitted with bilious expectoration. Tc-99m mebrofenin hepatobiliary scintigraphy revealed radiotracer accumulation in the right hemithorax. Bile leakage into the right thoracic cavity was diagnosed based on the hepatobiliary scintigraphic findings. For this patient; hepatobiliary scintigraphy, which is routinely used to visualize the liver and biliary tree, provided a noninvasive mean for the precise diagnosis of a bronchobiliary fistula. The fistula was then confirmed and corrected with surgery. The patient recovered uneventfully.

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