Detection of a suspected bronchobiliary fistula by hepatobiliary scintigraphy

Alessio Annovazzi, Giovanni Viceconte, Luisa Romano, Rosa Sciuto, Carlo L. Maini

Research output: Contribution to journalArticlepeer-review


Bronchobiliary fistula (BBF) represents a rare but severe complication in patients affected by liver metastases. Although a clinical suspicion can arise when specific clinical signs, in particular biliptysis, are present, conventional imaging modalities often fail to confirm the diagnosis. We present a case of a patient affected by colon cancer with liver metastases previously treated with partial right-sided hepatectomy and multiple thermo-ablative treatments combined with chemotherapy, who manifested a septic fever associated with productive cough and biliptysis. Diagnosis of BBF was confirmed only by hepatobiliary scintigraphy with 99mTc-heptoiminodiacetic acid.

Original languageEnglish
Pages (from-to)641-643
Number of pages3
JournalAnnals of Nuclear Medicine
Issue number7
Publication statusPublished - Aug 2008


  • Tc-HIDA
  • Biliary fistula
  • Scintigraphy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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