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Detection of a suspected bronchobiliary fistula by hepatobiliary scintigraphy
Bronchobiliary fistula (BBF) represents a rare but severe complication in patients affected by liver metastases. Although a clinical suspicion can arise when specific clinical signs, in particular biliptysis, are present, conventional imaging modalities often fail to confirm the diagnosis. We presen...
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| Published in: | Annals of nuclear medicine 2008-08, Vol.22 (7), p.641-643 |
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| container_issue | 7 |
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| container_title | Annals of nuclear medicine |
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| creator | Annovazzi, Alessio Viceconte, Giovanni Romano, Luisa Sciuto, Rosa Maini, Carlo L. |
| description | Bronchobiliary fistula (BBF) represents a rare but severe complication in patients affected by liver metastases. Although a clinical suspicion can arise when specific clinical signs, in particular biliptysis, are present, conventional imaging modalities often fail to confirm the diagnosis. We present a case of a patient affected by colon cancer with liver metastases previously treated with partial right-sided hepatectomy and multiple thermo-ablative treatments combined with chemotherapy, who manifested a septic fever associated with productive cough and biliptysis. Diagnosis of BBF was confirmed only by hepatobiliary scintigraphy with
99m
Tc-heptoiminodiacetic acid. |
| doi_str_mv | 10.1007/s12149-008-0154-z |
| format | article |
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99m
Tc-heptoiminodiacetic acid.</description><identifier>ISSN: 0914-7187</identifier><identifier>EISSN: 1864-6433</identifier><identifier>DOI: 10.1007/s12149-008-0154-z</identifier><identifier>PMID: 18756368</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Aged ; Bile - diagnostic imaging ; Bile - secretion ; Biliary Fistula - diagnostic imaging ; Biliary Fistula - etiology ; Biliary Fistula - physiopathology ; Biliary Fistula - therapy ; Bronchial Fistula - diagnostic imaging ; Bronchial Fistula - etiology ; Bronchial Fistula - physiopathology ; Bronchial Fistula - therapy ; Case Report ; Cautery - adverse effects ; Cholangiopancreatography, Endoscopic Retrograde ; Cholestasis - diagnostic imaging ; Colonic Neoplasms - pathology ; Combined Modality Therapy - adverse effects ; Drainage ; Duodenum - surgery ; Escherichia coli Infections - physiopathology ; Escherichia coli Infections - therapy ; Female ; Fever ; Hepatectomy - adverse effects ; Humans ; Imaging ; Jaundice, Obstructive - etiology ; Jaundice, Obstructive - surgery ; Liver Neoplasms - diagnostic imaging ; Liver Neoplasms - physiopathology ; Liver Neoplasms - secondary ; Liver Neoplasms - surgery ; Medicine ; Medicine & Public Health ; Nuclear Medicine ; Radiology ; Radionuclide Imaging ; Stents - adverse effects ; Technetium Tc 99m Lidofenin - pharmacokinetics ; Tomography, X-Ray Computed</subject><ispartof>Annals of nuclear medicine, 2008-08, Vol.22 (7), p.641-643</ispartof><rights>The Japanese Society of Nuclear Medicine 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c519t-c265a034ea5a3fd47d8364e17ead9d8f0a4f95638b8539342c80c2530b8042023</citedby><cites>FETCH-LOGICAL-c519t-c265a034ea5a3fd47d8364e17ead9d8f0a4f95638b8539342c80c2530b8042023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18756368$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Annovazzi, Alessio</creatorcontrib><creatorcontrib>Viceconte, Giovanni</creatorcontrib><creatorcontrib>Romano, Luisa</creatorcontrib><creatorcontrib>Sciuto, Rosa</creatorcontrib><creatorcontrib>Maini, Carlo L.</creatorcontrib><title>Detection of a suspected bronchobiliary fistula by hepatobiliary scintigraphy</title><title>Annals of nuclear medicine</title><addtitle>Ann Nucl Med</addtitle><addtitle>Ann Nucl Med</addtitle><description>Bronchobiliary fistula (BBF) represents a rare but severe complication in patients affected by liver metastases. Although a clinical suspicion can arise when specific clinical signs, in particular biliptysis, are present, conventional imaging modalities often fail to confirm the diagnosis. We present a case of a patient affected by colon cancer with liver metastases previously treated with partial right-sided hepatectomy and multiple thermo-ablative treatments combined with chemotherapy, who manifested a septic fever associated with productive cough and biliptysis. Diagnosis of BBF was confirmed only by hepatobiliary scintigraphy with
99m
Tc-heptoiminodiacetic acid.</description><subject>Aged</subject><subject>Bile - diagnostic imaging</subject><subject>Bile - secretion</subject><subject>Biliary Fistula - diagnostic imaging</subject><subject>Biliary Fistula - etiology</subject><subject>Biliary Fistula - physiopathology</subject><subject>Biliary Fistula - therapy</subject><subject>Bronchial Fistula - diagnostic imaging</subject><subject>Bronchial Fistula - etiology</subject><subject>Bronchial Fistula - physiopathology</subject><subject>Bronchial Fistula - therapy</subject><subject>Case Report</subject><subject>Cautery - adverse effects</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholestasis - diagnostic imaging</subject><subject>Colonic Neoplasms - pathology</subject><subject>Combined Modality Therapy - adverse effects</subject><subject>Drainage</subject><subject>Duodenum - surgery</subject><subject>Escherichia coli Infections - physiopathology</subject><subject>Escherichia coli Infections - therapy</subject><subject>Female</subject><subject>Fever</subject><subject>Hepatectomy - adverse effects</subject><subject>Humans</subject><subject>Imaging</subject><subject>Jaundice, Obstructive - etiology</subject><subject>Jaundice, Obstructive - surgery</subject><subject>Liver Neoplasms - diagnostic imaging</subject><subject>Liver Neoplasms - physiopathology</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver Neoplasms - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nuclear Medicine</subject><subject>Radiology</subject><subject>Radionuclide Imaging</subject><subject>Stents - adverse effects</subject><subject>Technetium Tc 99m Lidofenin - pharmacokinetics</subject><subject>Tomography, X-Ray Computed</subject><issn>0914-7187</issn><issn>1864-6433</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqFkbtOwzAUhi0EoqXwACwoYmALHF_jjKhcpSIWmC3HcdpUaRzsZGifHletqISEmCz7fOc_tj-ELjHcYoDsLmCCWZ4CyBQwZ-nmCI2xFCwVjNJjNIYcszTDMhuhsxCWAERySU7RKB5xQYUco7cH21vT165NXJXoJAyhi3tbJoV3rVm4om5q7ddJVYd-aHRSrJOF7XT_Uwimbvt67nW3WJ-jk0o3wV7s1wn6fHr8mL6ks_fn1-n9LDUc531qiOAaKLOaa1qVLCslFczizOoyL2UFmlV5vKAsJKc5ZcRIMIRTKCQwAoRO0M0ut_Pua7ChV6s6GNs0urVuCErkLGMg-L8gwZgQQSGC17_ApRt8Gx8RGQ5MCikihHeQ8S4EbyvV-XoVP0FhUFsjamdERSNqa0RtYs_VPngoVrY8dOwVRIDsgBBL7dz6w-S_U78BMliWNQ</recordid><startdate>20080801</startdate><enddate>20080801</enddate><creator>Annovazzi, Alessio</creator><creator>Viceconte, Giovanni</creator><creator>Romano, Luisa</creator><creator>Sciuto, Rosa</creator><creator>Maini, Carlo L.</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20080801</creationdate><title>Detection of a suspected bronchobiliary fistula by hepatobiliary scintigraphy</title><author>Annovazzi, Alessio ; Viceconte, Giovanni ; Romano, Luisa ; Sciuto, Rosa ; Maini, Carlo L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c519t-c265a034ea5a3fd47d8364e17ead9d8f0a4f95638b8539342c80c2530b8042023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Bile - diagnostic imaging</topic><topic>Bile - secretion</topic><topic>Biliary Fistula - diagnostic imaging</topic><topic>Biliary Fistula - etiology</topic><topic>Biliary Fistula - physiopathology</topic><topic>Biliary Fistula - therapy</topic><topic>Bronchial Fistula - diagnostic imaging</topic><topic>Bronchial Fistula - etiology</topic><topic>Bronchial Fistula - physiopathology</topic><topic>Bronchial Fistula - therapy</topic><topic>Case Report</topic><topic>Cautery - adverse effects</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Cholestasis - diagnostic imaging</topic><topic>Colonic Neoplasms - pathology</topic><topic>Combined Modality Therapy - adverse effects</topic><topic>Drainage</topic><topic>Duodenum - surgery</topic><topic>Escherichia coli Infections - physiopathology</topic><topic>Escherichia coli Infections - therapy</topic><topic>Female</topic><topic>Fever</topic><topic>Hepatectomy - adverse effects</topic><topic>Humans</topic><topic>Imaging</topic><topic>Jaundice, Obstructive - 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Academic</collection><jtitle>Annals of nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Annovazzi, Alessio</au><au>Viceconte, Giovanni</au><au>Romano, Luisa</au><au>Sciuto, Rosa</au><au>Maini, Carlo L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of a suspected bronchobiliary fistula by hepatobiliary scintigraphy</atitle><jtitle>Annals of nuclear medicine</jtitle><stitle>Ann Nucl Med</stitle><addtitle>Ann Nucl Med</addtitle><date>2008-08-01</date><risdate>2008</risdate><volume>22</volume><issue>7</issue><spage>641</spage><epage>643</epage><pages>641-643</pages><issn>0914-7187</issn><eissn>1864-6433</eissn><abstract>Bronchobiliary fistula (BBF) represents a rare but severe complication in patients affected by liver metastases. Although a clinical suspicion can arise when specific clinical signs, in particular biliptysis, are present, conventional imaging modalities often fail to confirm the diagnosis. We present a case of a patient affected by colon cancer with liver metastases previously treated with partial right-sided hepatectomy and multiple thermo-ablative treatments combined with chemotherapy, who manifested a septic fever associated with productive cough and biliptysis. Diagnosis of BBF was confirmed only by hepatobiliary scintigraphy with
99m
Tc-heptoiminodiacetic acid.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>18756368</pmid><doi>10.1007/s12149-008-0154-z</doi><tpages>3</tpages></addata></record> |
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| ispartof | Annals of nuclear medicine, 2008-08, Vol.22 (7), p.641-643 |
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| subjects | Aged Bile - diagnostic imaging Bile - secretion Biliary Fistula - diagnostic imaging Biliary Fistula - etiology Biliary Fistula - physiopathology Biliary Fistula - therapy Bronchial Fistula - diagnostic imaging Bronchial Fistula - etiology Bronchial Fistula - physiopathology Bronchial Fistula - therapy Case Report Cautery - adverse effects Cholangiopancreatography, Endoscopic Retrograde Cholestasis - diagnostic imaging Colonic Neoplasms - pathology Combined Modality Therapy - adverse effects Drainage Duodenum - surgery Escherichia coli Infections - physiopathology Escherichia coli Infections - therapy Female Fever Hepatectomy - adverse effects Humans Imaging Jaundice, Obstructive - etiology Jaundice, Obstructive - surgery Liver Neoplasms - diagnostic imaging Liver Neoplasms - physiopathology Liver Neoplasms - secondary Liver Neoplasms - surgery Medicine Medicine & Public Health Nuclear Medicine Radiology Radionuclide Imaging Stents - adverse effects Technetium Tc 99m Lidofenin - pharmacokinetics Tomography, X-Ray Computed |
| title | Detection of a suspected bronchobiliary fistula by hepatobiliary scintigraphy |
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