title: Bronchobiliary fistula as a complication of liver metastases: diagnosis by HIDA scan.
abstract: Bronchobiliary fistulas are rare, may result from infection with Echinococcus or Amebiasis, trauma, or hepatic malignancy, and present with biliptysis, the expectoration of bile. The authors present a 49-year-old woman who presented with frank biliptysis as a result of previously treated metastatic colon cancer to the liver. A hepatobiliary scan is the noninvasive diagnostic imaging test of choice for demonstration of such fistulas, and was useful in confirming the diagnosis in our patient.
authors.affiliation: Department of Internal Medicine, Division of Pulmonary and Critical Care, Winthrop-University Hospital, Mineola, New York 11501, USA.
authors.forename: Lina
authors.initials: L
authors.lastname: Andalkar
authors.forename: Terence K
authors.initials: TK
authors.lastname: Trow
authors.forename: Betty
authors.initials: B
authors.lastname: Motroni
authors.forename: Douglas S
authors.initials: DS
authors.lastname: Katz
mesh_terms: D001646:Bile; D001658:Biliary Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D001983:Bronchial Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000556:secondary; D008168:Lung / Q000000981:diagnostic imaging; D008875:Middle Aged; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D019780:Technetium Tc 99m Lidofenin
chemical_list: D019275:Radiopharmaceuticals; D019780:Technetium Tc 99m Lidofenin