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European Journal of Nuclear Medicine and Molecular Imaging
Published in: European Journal of Nuclear Medicine and Molecular Imaging 10/2010

01-10-2010 | Image of the Month

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

Authors: Anish Bhattacharya, Koramadai Karuppuswamy Kamaleshwaran, Chidambaram Natarajan Balasubramaniam Harisankar, Kuruva Manohar, Mohammed Labeeb Abrar, Bhagwant Rai Mittal

Published in: European Journal of Nuclear Medicine and Molecular Imaging | Issue 10/2010

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Excerpt

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. …
Literature
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Oparah SS, Mandal AK. Traumatic thoracobiliary (pleurobiliary and bronchobiliary) fistulas: clinical and review study. J Trauma 1978;18:539–44.CrossRefPubMed
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Ivatury RR, O’Shea J, Rohman M. Post-traumatic thoracobiliary fistula. J Trauma 1984;24:438–42.CrossRefPubMed
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Bhattacharya A, Gupta R, Mittal BR. Traumatic biliopleural communication detected by hepatobiliary scintigraphy. Clin Nucl Med 2006;31:170–1.CrossRefPubMed
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Santra A, Kumar R, Maharjan S, Bal C, Malhotra A. Traumatic bronchobiliary fistula diagnosed by 99mTc-mebrofenin hepatobiliary scintigraphy. Nucl Med Commun 2009;30:652–3.CrossRefPubMed
Metadata
Title
Post-traumatic biliobronchial fistula demonstrated on hepatobiliary scintigraphy with SPECT/CT
Authors
Anish Bhattacharya
Koramadai Karuppuswamy Kamaleshwaran
Chidambaram Natarajan Balasubramaniam Harisankar
Kuruva Manohar
Mohammed Labeeb Abrar
Bhagwant Rai Mittal
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
European Journal of Nuclear Medicine and Molecular Imaging / Issue 10/2010
Print ISSN: 1619-7070
Electronic ISSN: 1619-7089
DOI
https://doi.org/10.1007/s00259-010-1544-8

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