Demonstration of Traumatic Hepato-Pleural-Cutaneous Defect by 131I-Rose Bengal

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A 19-year-old man was shot in the right chest about 2 cm below the nipple; bloody fluid was drained through a chest tube. Two days later sero-sanguineous fluid tinged with bile was seen to drain from the wound site. 131I-rose bengal, injected intravenously, collected in the dome of the liver and drained into a collection bag placed over the wound site, thus identifying a hepatopleural-cutaneous fistula, which was confirmed at surgery.

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