title: Bronchobiliary fistula localized by cholescintigraphy with single-photon emission computed tomography.
abstract: Biliptysis is an important clinical feature to recognize as it is associated with bronchobiliary fistula, a rare entity. Bronchobiliary fistulas have been diagnosed with planar cholescintigraphy. However, cholescintigraphy with single-photon emission computed tomography (SPECT) can better spatially localize a bronchobiliary fistula as compared to planar cholescintigraphy alone, and is useful for preoperative planning if surgical treatment is required. Here, we present the case of a 23-year-old male who developed a bronchobiliary fistula in the setting of posttraumatic and postsurgical infection, which was diagnosed and localized by cholescintigraphy with SPECT.
authors.affiliation: Department of Radiology, Baylor College of Medicine, One Baylor Plaza, Houston, TX, USA.
authors.forename: Maddy
authors.initials: M
authors.lastname: Artunduaga
authors.affiliation: Department of Division of Nuclear Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, USA.
authors.forename: Niraj R
authors.initials: NR
authors.lastname: Patel
authors.affiliation: Department of Division of Nuclear Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, USA.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Wendt
authors.affiliation: Department of Pulmonary and Critical Care, Baylor College of Medicine, One Baylor Plaza, Houston, TX, USA.
authors.forename: Elizabeth S
authors.initials: ES
authors.lastname: Guy
authors.affiliation: Department of Radiology, Baylor College of Medicine, One Baylor Plaza, Houston, TX, USA.
authors.forename: Arun C
authors.initials: AC
authors.lastname: Nachiappan
keywords: Biliptysis; bronchobiliary fistula; cholescintigraphy; single-photon emission computed tomography