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. 2023 Apr 1;48(4):e160-e162.
doi: 10.1097/RLU.0000000000004581. Epub 2023 Jan 20.

Clinical Impact of SPECT/CT in Evaluation of Abdominothoracic Fistula

Affiliations

Clinical Impact of SPECT/CT in Evaluation of Abdominothoracic Fistula

Seo Young Kang et al. Clin Nucl Med. .

Abstract

Abdominothoracic fistula is rarely observed but can be life-threatening. Pleuroperitoneal communication, known to occur in 1.6% of all patients who undergo continuous ambulatory peritoneal dialysis, is an uncommon but well-recognized complication. The most common symptoms are dyspnea and right-sided pleural effusion. A biliopleural fistula is well-described as a complication of radiofrequency ablation and transcatheter arterial chemoembolization of hepatic lesions. It is important to diagnose the cause of pleural effusion early for proper treatment because if the abdominothoracic fistula effusion amount is not large, appropriate diagnosis may be difficult. Here, we introduce 2 cases showing the usefulness of SPECT/CT in evaluating pleuroperitoneal and biliopleural fistulas.

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Conflict of interest statement

Conflicts of interest and sources of funding: The authors have no conflicts of interest to report. This research was supported by grants from the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Science and ICT (NRF-2021R1F1A1060946, 2021R1I1A1A01049147, and 2021R1A2C1093636).

References

    1. Nomoto Y, Suga T, Nakajima K, et al. Acute hydrothorax in continuous ambulatory peritoneal dialysis—a collaborative study of 161 centers. Am J Nephrol . 1989;9:363–367.
    1. Momenin N, Colletti PM, Kaptein EM. Low pleural fluid-to-serum glucose gradient indicates pleuroperitoneal communication in peritoneal dialysis patients: presentation of two cases and a review of the literature. Nephrol Dial Transplant . 2012;27:1212–1219.
    1. Choudhary G, Manapragada PP, Wallace E, et al. Utility of scintigraphy in assessment of non-infectious complications of peritoneal dialysis. J Nucl Med Technol . 2019;47:163–168.
    1. Covington MF, Choudhary G, Avery RJ, et al. Pitfalls in the performance and interpretation of scintigraphic imaging for pleuroperitoneal shunt. Clin Nucl Med . 2016;41:858–861.
    1. Covington MF, Choudhary G, Avery RJ, et al. Optimal time points for scintigraphic imaging of pleuroperitoneal shunts. Clin Nucl Med . 2016;41:766–768.

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