title: Congenital bronchobiliary fistula: diagnosis and postoperative surveillance with HIDA scan.
abstract: Congenital bronchobiliary fistula (CBBF) is an extremely rare anomaly with myriad presentations that often include common bile duct abnormalities. Traditionally, bronchoscopy and bronchography have been used to establish the diagnosis. A full-term neonate with pneumonia and bilious secretions was diagnosed as having CBBF by means of a HIDA scan. Successful repair consisted of a right thoracotomy, high ligation of the fistula via an extrapleural approach, and cholecystography to confirm biliary drainage into the duodenum. The HIDA scan is a safe and efficient means to diagnose CBBF. When used in combination with surgical contrast studies, it provides clear delineation of all variations of this abnormality, enabling one-stage correction.
authors.affiliation: Department of Surgery, Kaiser Permanente Medical Center, Los Angeles, CA 90027, USA.
authors.forename: S
authors.initials: S
authors.lastname: Egrari
authors.forename: M
authors.initials: M
authors.lastname: Krishnamoorthy
authors.forename: C A
authors.initials: CA
authors.lastname: Yee
authors.forename: H
authors.initials: H
authors.lastname: Applebaum
mesh_terms: D001658:Biliary Fistula / Q000151:congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D001983:Bronchial Fistula / Q000151:congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D003287:Contrast Media; D005260:Female; D006801:Humans; D007098:Imino Acids; D007231:Infant, Newborn; D011182:Postoperative Care; D011877:Radionuclide Imaging
chemical_list: D003287:Contrast Media; D007098:Imino Acids; C049470:lidofenin