用肝亚氨基二乙酸扫描显示胆支气管瘘。

Demonstration of a biliobronchial fistula with a hepatoiminodiacetic acid scan.

作者信息

Adachi Tomohiko, Tajima Yoshitsugu, Kuroki Tamotsu, Mishima Takehiro, Kitasato Amane, Tsutsumi Ryuji, Kanematsu Takashi

机构信息

Department of Transplantation and Digestive Surgery, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1, Sakamotomachi, Nagasaki, 852-8501 Japan.

出版信息

Am J Surg. 2006 Jun;191(6):794-6. doi: 10.1016/j.amjsurg.2006.03.001.

DOI:10.1016/j.amjsurg.2006.03.001

PMID:16720151

Abstract

Biliobronchial fistula (BBF) is a rare complication after hepatic resection. A 68-year-old woman who had undergone a right hepatic trisegmentectomy followed by a hepaticojejunostomy with a Roux-en-Y anastomosis for gallbladder cancer and liver metastasis from colon cancer was admitted to our hospital for further investigation of persistent bilioptysis. We could not detect the cause of the bilioptysis on computed tomography or magnetic resonance cholangiopancreatography, but a hepatoiminodiacetic scan clearly showed the BBF. Endoscopic retrograde cholangiography is thought to be suitable for diagnosing BBF, but it is invasive and unavailable in patients who have undergone digestive reconstruction, such as a Roux-en-Y anastomosis. In such cases, hepatoiminodiacetic scanning should be used for diagnosing BBF.

摘要

胆支气管瘘（BBF）是肝切除术后一种罕见的并发症。一名68岁女性因胆囊癌和结肠癌肝转移接受了右肝三段切除术，随后进行了肝空肠吻合术及Roux-en-Y吻合术，因持续咯血痰入院进一步检查。我们在计算机断层扫描或磁共振胰胆管造影上未发现咯血痰的原因，但肝亚氨基二乙酸扫描清楚地显示了胆支气管瘘。内镜逆行胰胆管造影被认为适用于诊断胆支气管瘘，但它具有侵入性，对于接受过诸如Roux-en-Y吻合术等消化重建手术的患者不可用。在这种情况下，应使用肝亚氨基二乙酸扫描来诊断胆支气管瘘。