AUTHOR=Peng Yisheng , Fan Jun , Zhu Gang , Fang Cheng , Peng Fangyi , Zhang Zeyu , Tian Jie , Su Song , Yang Xiaoli , Li Bo TITLE=First case report of spontaneous biliary pleural fistula diagnosed using near infrared region I/II fluorescence of indocyanine green JOURNAL=Frontiers in Oncology VOLUME=12 YEAR=2022 URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2022.906812 DOI=10.3389/fonc.2022.906812 ISSN=2234-943X ABSTRACT=

We report a rare case of spontaneous biliary pleural fistula in a patient whose diagnosis was aided by the use of near-infrared I/II fluorescence imaging. When both 99mTc-mebrofenin hepatobiliary scintigraphy and CT examination were diagnostically difficult, we found strong fluorescent signals in the patient’s pleural drainage fluid and sputum using NIR I/II fluorescence imaging, and therefore diagnosed the patient with a biliary pleural fistula. This provides a safe and effective test for diagnosing biliary pleural fistulas.