肝胆闪烁扫描术在胆囊结肠瘘中的应用。

Hepatobiliary Scintigraphy in Cholecystocolonic Fistula.

机构信息

From the AdventHealth Medical Group Radiology at Central Florida, Orlando, FL.

出版信息

Clin Nucl Med. 2020 Aug;45(8):626-627. doi: 10.1097/RLU.0000000000003083.

Abstract

We report a case of a 50-year-old man diagnosed with cholecystocolonic fistula (CCF), confirmed by scintigraphy. After negative initial radiologic workup, a colonoscopy revealed findings of right-sided ischemic colitis. Soon after, a febrile episode prompted a repeat abdominal CT scan demonstrating a possible CCF, later confirmed with a nuclear medicine hepatobiliary scintigraphy and treated surgically. Less than 10% of CCFs are diagnosed preoperatively.

摘要

我们报告了一例 50 岁男性患者，经闪烁扫描诊断为胆囊结肠瘘（CCF）。在最初的放射学检查结果为阴性后，结肠镜检查发现右侧缺血性结肠炎的表现。此后不久，患者出现发热，再次进行腹部 CT 扫描显示可能存在 CCF，随后通过核医学肝胆闪烁扫描证实，并进行了手术治疗。不到 10%的 CCF 术前得到诊断。