Original ArticleBronchobiliary Fistula as a Complication of Liver Metastases: Diagnosis by HIDA ScanAndalkar, Lina MD*; Trow, Terence K. MD*; Motroni, Betty MD†; Katz, Douglas S. MD† Author Information 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 protected]. Clinical Nuclear Medicine: May 2004 - Volume 29 - Issue 5 - p 289-291 doi: 10.1097/01.rlu.0000122799.34030.9e Buy Metrics Abstract 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. © 2004 Lippincott Williams & Wilkins, Inc.