J Acute Care Surg.  2024 Mar;14(1):30-33. 10.17479/jacs.2024.14.1.30.

Use of a Hepatobiliary Iminodiacetic Acid scan in the Diagnosis of Enterocutaneous Fistula: A Case Report

Affiliations
  • 1Department of Vascular and Interventional Radiology, Loma Linda University Medical Center, California, CA, USA
  • 2Department of Radiological Sciences, University of California, Irvine Medical Center, Irvine, California, CA, USA
  • 3Department of Radiology, Loma Linda University Medical Center, California, CA, USA

Abstract

Enterocutaneous fistulas (ECFs) are abnormal connections between epithelium of the intestinal lumen and skin. The diagnosis and characterization of an ECF is vital to determine the appropriate treatment approach. Diagnosis of ECFs are typically made by visualization of succus drainage from a surgical incision. However, when diagnosis is unclear, various radiological modalities are available to aid diagnosis. We report a case of incidental application of nuclear medicine hepatobiliary iminodiacetic acid scan which led to the diagnosis of an ECF.

Keyword

cutaneous fistula, intestinal fistula, nuclear medicine, single photon emission computed tomography computed tomography
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