Efficacy of Hepatobiliary Scintigraphy in Demonstrating Cholangio-Colic Fistulae Is Formation of Internal Biliary Fistula Related to External Leak Closure?

• Published in: Clinical nuclear medicine 1995-04, Vol.20 (4), p.318-321
• Main Authors: BHATNAGAR, ASEEM, MONDAL, ANUPAM, PATHANIA, O P, DHAWAN, RANJU T, CHOPRA, M K, KHANNA, C M
• Format: Article
• Language: English
• Subjects: Adult; Aged; Biliary Fistula - diagnostic imaging; Biliary Fistula - etiology; Biliary Tract - diagnostic imaging; Biological and medical sciences; Cholecystectomy - adverse effects; Colonic Diseases - diagnostic imaging; Colonic Diseases - etiology; Common Bile Duct Diseases - diagnostic imaging; Common Bile Duct Diseases - etiology; Digestion. Liver. Biliary tract. Spleen. Pancreas; Female; Humans; Intestinal Fistula - diagnostic imaging; Intestinal Fistula - etiology; Investigative techniques, diagnostic techniques (general aspects); Liver - diagnostic imaging; Medical sciences; Radionuclide Imaging; Radionuclide investigations
• ISSN: 0363-9762; 1536-0229
• DOI: 10.1097/00003072-199504000-00007

The authors present four cases of Internal biliary fistulae (IBF) Identified on hepatobiliary scintigraphy. All of the cases share common history of external biliary leak closure. Scintigraphy in all four cases showed a similar pattern of direct visualization of transverse colon without any significant small bowel activity. This suggests an Increased frequency of IBF formation In cases with external fistulous tract closure. Retrospectively, it appears that spontaneous closure of external leak may be pathological consequence of formation of IBF involving hepatic flexure.