Colo-bronchial Fistula As A Rare Complication Of Diaphragmatic Mesh Repair

Mohanraj, Edwardine M.; Mayer, D.McCullagh; Harkin, Timothy J.

doi:10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a5826

Cited by 2 publications

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“…Based on the anatomical location of fistula and different causes, all the CBF cases were classified into four different types. Type I, CBF secondary to the adhesion among colon, diaphragm and lung (20 cases) (1,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21)(22)29): both the colon and lung directly adhere to diaphragm and the fistula forms between colon and lung through diaphragm; type II, CBF secondary to diaphragmatic hernia (8 cases) (2,3,17,18,23,24): the colon goes through diaphragm to form diaphragmatic hernia, directly adheres to lung tissue and forms fistula; type III, CBF secondary to sub diaphragmatic abscess or empyema (7 cases) (4,5,(25)(26)(27)(28)30): the colon and lung tissue fistula connect indirectly through the sub diaphragmatic or pleural abscess; type VI, CBF secondary to colon interposition (2 cases, Figure 2) (31,32).…”

Section: The Causes Of Cbfmentioning

confidence: 99%

“…For type IV, all 2 cases accepted colonic interposition ( Table 1). There were 30 cases (2,4,(6)(7)(8)(9)(10)(12)(13)(14)16,17,(19)(20)(21)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32) with the left side fistula and 7 cases (1,3,5,11,15,18,22) with the right side fistula.…”

Section: The Causes Of Cbfmentioning

confidence: 99%

“…The most common fistula between respiratory system and digestive tract is tracheal or bronchial esophageal fistula. However, colobronchial fistula (CBF) [or colono pleuro bronchial fistula (CPBF)] is rare in clinic (1)(2)(3)(4)(5). Only 36 cases were reported from January 1960 to August 2016 in literature.…”

Section: Introductionmentioning

confidence: 99%

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Colobronchial fistula: the pathogenesis, clinical presentations, diagnosis and treatment

Zhao

Lei

et al. 2017

J. Thorac. Dis.

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Background: Colobronchial fistula (CBF) is rare and easy to be delayed in clinic. There is no systemic study about this disease. The pathogenesis, clinical presentations, diagnosis and treatment of CBF were analyzed in this study. Methods:The clinical data from 37 cases of CBF, which included one case in our institute and the other 36 cases in literature from January 1960 to August 2016, were reviewed and analyzed. The etiology, clinical presentations, diagnostic and therapeutic methods, and outcomes were summarized. Results:The causes of CBF included Crohn's disease, postoperative intraperitoneal adhesion, diaphragmatic hernia, pulmonary infection or abscess, colonic malignancy, colonic interposition, radiation, hyperthermic intraperitoneal chemotherapy (HIPEC), diaphragmatic mesh repair, pulmonary tuberculosis and pyonephrosis. Based on the anatomical location and the causes of fistula, CBF were divided into four types: type I, CBF secondary to the adhesion among colon, diaphragm and lung; type II, CBF secondary to diaphragmatic hernia; type III, CBF secondary to sub diaphragmatic abscess or emphysema; type VI, CBF secondary to colon interposition. The characteristic clinical presentations of CBF was productive cough with foul smelling sputum (78.38%), most of the patients were finally confirmed the diagnosis by barium enema or water-soluble contrast enema study (67.57%) and computed tomography (CT) scan/with multiplanar reconstruction (16.22%); 35 cases (94.59%) accepted the surgical treatment. Among 31 patients with recorded follow-up data, 26 patients recovered unevenly, but 5 patients died in 1 month after treatment.Conclusions: CBF is a rare but can not be ignored disease. Anything which may induce the direct or indirect connection between colon and lung tissue may result in CBF. Productive cough with foul smelling sputum is the characteristic symptom. Radiological investigations such as barium enema and/or CT scan with multiplanar reconstruction are valuable for the confirmation of CBF. Surgery based on the etiology is the foundation of treatment.

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Section: The Causes Of Cbfmentioning

confidence: 99%

Section: The Causes Of Cbfmentioning

confidence: 99%

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Colobronchial fistula: the pathogenesis, clinical presentations, diagnosis and treatment

Zhao

Lei

et al. 2017

J. Thorac. Dis.

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Unusual complication of colonic carcinoma: colonopleurobronchial fistula

et al. 2020

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Colonopleurobronchial fistula (CPBF) is a rare complication which occurs due to diversified causes. Expectoration of the faecal material is the classical clinical symptom which suggests the diagnosis. Various causes include infection of pulmonary or abdominal origin, inflammatory bowel disease, colonic malignancy, diaphragmatic hernia and colonic interposition. Crohn’s disease is the frequent underlying pathology, colonic malignancy accounts for rare cause. Due to the presence of liver in right upper quadrant, most of the fistulas are on the left side. Here we describe a rare case of a 38-year-old man presented with right-sided CPBF due to underlying colonic malignancy. Bronchial block was done, however the patient succumbed to death.

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Colo-bronchial Fistula As A Rare Complication Of Diaphragmatic Mesh Repair

Cited by 2 publications

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Colobronchial fistula: the pathogenesis, clinical presentations, diagnosis and treatment

Colobronchial fistula: the pathogenesis, clinical presentations, diagnosis and treatment

Unusual complication of colonic carcinoma: colonopleurobronchial fistula

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