Post-traumatic biliobronchial fistula demonstrated on hepatobiliary scintigraphy with SPECT/CT

A 22-year-old male patient suffered a grade IV liver injury with haemoperitoneum in a roadside accident 2 months earlier, for which laparotomy and biliary stenting were done. However, after a few days, the stent was passed during defecation. A week later, the patient developed intractable cough with...

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Published inEuropean journal of nuclear medicine and molecular imaging Vol. 37; no. 10; p. 1994
Main Authors Bhattacharya, Anish, Kamaleshwaran, Koramadai Karuppuswamy, Balasubramaniam Harisankar, Chidambaram Natarajan, Manohar, Kuruva, Abrar, Mohammed Labeeb, Mittal, Bhagwant Rai
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer-Verlag 01.10.2010
Springer Nature B.V
Subjects
Biliary Fistula - diagnosis
Biliary Fistula - diagnostic imaging
Biliary Fistula - etiology
Biliary Tract - diagnostic imaging
Biliary Tract Diseases - diagnosis
Biliary Tract Diseases - diagnostic imaging
Biliary Tract Diseases - etiology
Bronchial Diseases - diagnosis
Bronchial Diseases - diagnostic imaging
Bronchial Diseases - etiology
Bronchial Fistula - diagnosis
Bronchial Fistula - diagnostic imaging
Bronchial Fistula - etiology
Cardiology
Case studies
Humans
Image of the Month
Imaging
Injuries
Liver
Liver - diagnostic imaging
Liver - injuries
Male
Medicine
Medicine & Public Health
Nuclear Medicine
Oncology
Orthopedics
Radiology
Tomography
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
Traffic accidents & safety
Young Adult
Biliary Drainage
Liver Injury
Pleural Effusion
Cough
Lower Lobe
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Summary:A 22-year-old male patient suffered a grade IV liver injury with haemoperitoneum in a roadside accident 2 months earlier, for which laparotomy and biliary stenting were done. However, after a few days, the stent was passed during defecation. A week later, the patient developed intractable cough with copious expectoration of green sputum. Chest X-ray showed right-sided pleural effusion with consolidation in the right lower lobe. Sputum examination confirmed the presence of bile, which raised the suspicion of a biliobronchial communication.
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ISSN:1619-7070
1619-7089
DOI:10.1007/s00259-010-1544-8