Ozdemir Savas, Way Ashley, Gopireddy Dheeraj
Radiology, University of Florida College of Medicine, Jacksonville, USA.
Cureus. 2020 Aug 31;12(8):e10168. doi: 10.7759/cureus.10168.
Post-traumatic bronchobiliary fistulas (BBF) are extremely rare with high morbidity and mortality rates. Accurate and timely diagnosis of these entities is critical for appropriate treatment, which usually requires a multidisciplinary approach. We describe two post-traumatic cases using a multimodality approach including computed tomography (CT), magnetic resonance imaging (MRI)/Magnetic Resonance Cholangiopancreatography (MRCP), and hepatobiliary scintigraphy with specific emphasis on the imaging features for each modality. Management of hepatobiliary fistulas is complex, involving extensive diagnostic work up followed by a conservative and/or surgical approach.
创伤后支气管胆管瘘（BBF）极为罕见，发病率和死亡率都很高。准确及时地诊断这些病症对于恰当治疗至关重要，而恰当治疗通常需要多学科方法。我们描述了两例创伤后病例，采用了包括计算机断层扫描（CT）、磁共振成像（MRI）/磁共振胰胆管造影（MRCP）以及肝胆闪烁显像在内的多模态方法，并特别强调了每种模态的影像学特征。肝胆瘘的处理很复杂，需要进行广泛的诊断性检查，然后采取保守和/或手术方法。
