Confirmation of a Biliothoracic Fistula With Dynamic [ 68 Ga]Ga-TEoS-DAZA-PET/CT.
Anke Werner, Robert Drescher, Martin Freesmeyer et al.
✦ AI-curated · Sources linked
Case in brief
A critically ill patient developed a suspected biliothoracic fistula after a perforated gastric ulcer repair. Dynamic hepatobiliary PET/CT using [68Ga]Ga-TEoS-DAZA successfully visualized bile flow, revealing leakage into a drained abscess cavity that extended into the thorax. This imaging technique provided superior localization compared to conventional methods, aiding in the management of the patient's condition.
Diagnostic / clinical pearl
Dynamic hepatobiliary PET/CT can effectively localize biliary leaks in complex cases, offering advantages over traditional imaging modalities.
Why it matters
This case underscores the potential of advanced imaging techniques in accurately diagnosing biliary complications, which can significantly impact patient management.