Demonstration of a perihepatic abscess communicating with a fistula from the small bowel on hepatobiliary imaging.
Abscess formation after abdominal surgery is not an uncommon complication. It is much less common for a collection to be the result of a fistulous tract from the bowel. We describe a patient who underwent a Tc-99m hepatobiliary (Choletec) scan for the workup of a perihepatic abscess, which confirmed the presence of a fistulous tract from the small bowel to a perihepatic collection.
Gerard
Perry S
PS
Division of Nuclear Medicine, Maimonides Medical Center, Brooklyn, NY 11219, USA. gperry@optonline.net
Graziano
Vincent
V
Finestone
Howard
H
Geller
Matthew D
MD
Horovitz
Joel H
JH
D001658:Biliary Fistula / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D008100:Liver Abscess / Q000000981:diagnostic imaging* / Q000209:etiology*; D008875:Middle Aged; D011877:Radionuclide Imaging