Demonstration of traumatic hepato-pleural-cutaneous defect by 131I-rose bengal.
A 19-year-old man was shot in the right chest about 2 cm below the nipple; bloody fluid was drained through a chest tube. Two days later sero-sanguineous fluid tinged with bile was seen to drain from the wound site. 131I-rose bengal, injected intravenously, collected in the dome of the liver and drained into a collection bag placed over the wound site, thus identifying a hepato-pleural-cutaneous fistula, which was confirmed at surgery.
D000328:Adult; D005402:Fistula / Q000209:etiology*; D006801:Humans; D007457:Iodine Radioisotopes; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D010995:Pleural Diseases / Q000209:etiology*; D011877:Radionuclide Imaging; D012395:Rose Bengal; D012871:Skin Diseases / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications*; D014948:Wounds, Gunshot / Q000150:complications*
D007457:Iodine Radioisotopes; D012395:Rose Bengal