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[Congenital bronchobiliary fistula detected by cholescintigraphy]
Cecilia Aguilar1, Roque Cano, Armando Camasca
1Centro de Medicina Nuclear IPEN-INEN, lima, Peru.
Insights
Congenital bronchobiliary fistula is a rare condition causing respiratory illness from birth. Surgical correction of this rare fistula led to symptom improvement in a pediatric patient.
Area of Science:
- Pediatric Surgery
- Medical Imaging
- Congenital Abnormalities
Background:
- Congenital bronchobiliary fistula is an extremely rare anomaly.
- This case represents one of only 20 reported instances.
- The condition presents with progressive respiratory complications from infancy.
Observation:
- A six-year-old female patient exhibited persistent respiratory symptoms since birth.
- Diagnostic workup included chest X-rays, CT scans, ultrasound, and Tc-99m HIDA cholescintigraphy.
- Imaging confirmed the presence of a bronchobiliary fistula.
Findings:
- Tc-99m HIDA cholescintigraphy was crucial in diagnosing the bronchobiliary fistula.
- Surgical intervention successfully corrected the anatomical defect.
- Post-operative recovery showed significant improvement in the patient's respiratory condition.
Implications:
- This case highlights the importance of advanced imaging in diagnosing rare congenital anomalies.
- Surgical management is effective for congenital bronchobiliary fistula.
- Early diagnosis and treatment can significantly improve outcomes for affected children.
Abstract:
A case of a six-year-old female patient diagnosed with congenital bronchobiliary fistula is presented. Only 20 cases have been reported in the literature of this disease in this institution. The patient showed signs and symptoms of a respiratory illness from birth that complicated progressively. She was submitted to multiple imaging studies like chest X rays, CT, ultrasound and Tc-99m HIDA cholescintigraphy. This procedure confirmed the presence of a bronchobiliary fistula that was corrected by surgery, with subsequent improvement of clinical symptoms.