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CASE RECORD
Year : 2015  |  Volume : 14  |  Issue : 1  |  Page : 60-62

Bronchobiliary Fistula Localized by Cholescintigraphy with Single-Photon Emission Computed Tomography


1 Department of Radiology, Baylor College of Medicine, One Baylor Plaza, Houston, TX, USA
2 Department of Division of Nuclear Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, USA
3 Department of Pulmonary and Critical Care, Baylor College of Medicine, One Baylor Plaza, Houston, TX, USA

Correspondence Address:
Maddy Artunduaga
Department of Radiology, Baylor College of Medicine, One Baylor Plaza, MS: BCM 360, Houston, TX 77030
USA
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DOI: 10.4103/1450-1147.150556

PMID: 25709549

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Biliptysis is an important clinical feature to recognize as it is associated with bronchobiliary fistula, a rare entity. Bronchobiliary fistulas have been diagnosed with planar cholescintigraphy. However, cholescintigraphy with single-photon emission computed tomography (SPECT) can better spatially localize a bronchobiliary fistula as compared to planar cholescintigraphy alone, and is useful for preoperative planning if surgical treatment is required. Here, we present the case of a 23-year-old male who developed a bronchobiliary fistula in the setting of posttraumatic and postsurgical infection, which was diagnosed and localized by cholescintigraphy with SPECT.


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