Bronchobiliary Fistula as a Complication of Liver Metastases: Diagnosis by HIDA ScanAndalkar, Lina MD*; Trow, Terence K. MD*; Motroni, Betty MD†; Katz, Douglas S. MD†Clinical Nuclear Medicine: May 2004 - Volume 29 - Issue 5 - p 289-291 doi: 10.1097/01.rlu.0000122799.34030.9e Original Article Abstract Author Information 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. From the Departments of *Internal Medicine, Division of Pulmonary and Critical Care, and †Radiology, Winthrop-University Hospital, Mineola, New York. Received for publication August 12, 2003; revision accepted November 25, 2003. Reprints: Douglas S. Katz, MD, Department of Radiology, Winthrop-University Hospital, 259 First Street, Mineola, NY 11501. E-mail: email@example.com. © 2004 Lippincott Williams & Wilkins, Inc.