Baleato-González S, Vieira-Leite C, Alvárez-Castro A M, García-Figueiras R
Servicio de Radiodiagnóstico, Hospital Clínico Universitario Santiago de Compostela, Santiago de Compostela (A Coruña), España.
Servicio de Radiodiagnóstico, Hospital Clínico Universitario Santiago de Compostela, Santiago de Compostela (A Coruña), España.
Radiologia. 2017 Nov-Dec;59(6):540-543. doi: 10.1016/j.rx.2017.04.002. Epub 2017 May 8.
Bronchobiliary fistulas are a rare entity of difficult diagnosis. The utility of magnetic resonance image (MRI) with hepatospecific contrast agents to demonstrate such condition is seldom described in the literature. This case reports a patient with pulmonary infection with a past history of hepatic surgery for hydatid disease in whom the presence of bile in the sputum rose the suspicious of a bronchobiliary fistula. MRI with hepatospecific contrast agents showed the communication between the biliary and bronchial tree and provided anatomic data to allow a therapeutic approach.
支气管胆管瘘是一种诊断困难的罕见病症。文献中很少描述使用肝脏特异性造影剂的磁共振成像（MRI）来诊断这种病症的效用。本病例报告了一名有肝包虫病肝脏手术史的肺部感染患者，其痰液中出现胆汁引发了支气管胆管瘘的怀疑。使用肝脏特异性造影剂的MRI显示了胆道与支气管树之间的连通，并提供了有助于采取治疗方法的解剖学数据。
