RESUMEN

Bronchobiliary fistulas are rare, may result from infection with Echinococcus or Amebiasis, trauma, or hepatic malignancy, and present with biliptysis, the expectoration of bile. The authors present a 49-year-old woman who presented with frank biliptysis as a result of previously treated metastatic colon cancer to the liver. A hepatobiliary scan is the noninvasive diagnostic imaging test of choice for demonstration of such fistulas, and was useful in confirming the diagnosis in our patient.

Asunto(s)

Fístula Biliar/diagnóstico por imagen , Fístula Bronquial/diagnóstico por imagen , Neoplasias Hepáticas/complicaciones , Lidofenina de Tecnecio Tc 99m , Bilis , Fístula Biliar/etiología , Fístula Bronquial/etiología , Femenino , Humanos , Neoplasias Hepáticas/secundario , Pulmón/diagnóstico por imagen , Persona de Mediana Edad , Cintigrafía , Radiofármacos