From the Department of Nuclear Medicine, Ewha Womans University College of Medicine, Seoul, South Korea.
Clin Nucl Med. 2023 Apr 1;48(4):e160-e162. doi: 10.1097/RLU.0000000000004581. Epub 2023 Jan 20.
Abdominothoracic fistula is rarely observed but can be life-threatening. Pleuroperitoneal communication, known to occur in 1.6% of all patients who undergo continuous ambulatory peritoneal dialysis, is an uncommon but well-recognized complication. The most common symptoms are dyspnea and right-sided pleural effusion. A biliopleural fistula is well-described as a complication of radiofrequency ablation and transcatheter arterial chemoembolization of hepatic lesions. It is important to diagnose the cause of pleural effusion early for proper treatment because if the abdominothoracic fistula effusion amount is not large, appropriate diagnosis may be difficult. Here, we introduce 2 cases showing the usefulness of SPECT/CT in evaluating pleuroperitoneal and biliopleural fistulas.
腹胸腔瘘很少见，但可能危及生命。虽然在所有接受持续不卧床腹膜透析的患者中，只有 1.6%的患者会发生肋膜腹腔连通，但这种连通仍是一种不常见但广为人知的并发症。最常见的症状是呼吸困难和右侧胸腔积液。胆胸瘘是射频消融和肝病变经导管动脉化疗栓塞的一种常见并发症。早期诊断胸腔积液的病因对正确治疗非常重要，因为如果腹胸腔瘘的胸腔积液量不大，可能难以做出适当的诊断。在此，我们介绍 2 例 SPECT/CT 在评估肋膜腹腔和胆胸瘘中的应用价值。
