From the Department of Nuclear Medicine, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, IMSS, Mexico City, Mexico.
Clin Nucl Med. 2022 Dec 1;47(12):e752-e753. doi: 10.1097/RLU.0000000000004334. Epub 2022 Jul 15.
Bronchobiliary fistula (BBF) represents a rare disorder; it consists of abnormal interconnection between the biliary tract and bronchial trees. A 22-year-old woman with persistent chest pain, jaundice, and biliptysis was referred for hepatobiliary scintigraphy under clinical suspicion of a BBF. Patient medical history was consistent with biliary tree reconstruction secondary to an iatrogenic injury during cholecystectomy 4 years ago. Previous complementary studies (CT and MR cholangiopancreatography) were equivocal for diagnosis. Planar dynamic images of hepatobiliary scintigraphy in the first hour were inconclusive. A 24-hour SPECT/CT was performed and confirmed the BBF in a minimally invasive way.
支气管胆道瘘（BBF）是一种罕见的疾病，它由胆管和支气管树之间的异常连接引起。一名 22 岁女性因持续性胸痛、黄疸和胆汁性咳嗽而就诊，临床怀疑为 BBF 而行肝胆闪烁扫描。患者病史与 4 年前胆囊切除术引起的医源性胆管损伤后重建相符。之前的补充研究（CT 和 MR 胰胆管造影）对诊断结果不确定。肝胆闪烁扫描的前 1 小时平面动态图像结果不确定。进行了 24 小时 SPECT/CT 检查，并以微创的方式证实了 BBF。
