Colo-pleural fistula

Olesen, LL; Pedersen, JT

doi:10.1183/09031936.93.02080792

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…In these cases—as in our case—the growth of gut microbes from pulmonary samples raised the suspicion of potential colopleural fistulization. This was then followed by imaging modalities, with CT scans being the most frequently used, as well as a colonoscopy and sinograms [ 1 , 2 , 7 , 9 – 11 ]. There is agreement across these cases that surgical repair of these fistulas is the management of choice.…”

Section: Discussionmentioning

confidence: 99%

Right-sided colopleural fistula secondary to diverticular disease: a case report

Hassan

Singh

2022

J Med Case Reports

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Background Colopleural fistulas are mostly left-sided and related to trauma, Crohn’s disease, or gastrointestinal malignancy. However, a diverticular fistula between the colon and right pleural space has not been reported and is rare considering the liver forms a natural anatomical barrier on this side. Colopleural fistulas often present with respiratory symptoms ranging from mild cough and dyspnea to sepsis from empyema caused by the leakage of gastrointestinal content into the pleural space. Although colopleural fistulas are rare, maintaining low suspicion is pivotal for timely investigation and appropriate surgical planning, particularly in the context of previous intra-abdominal infections or trauma. Case presentation A 67-year-old Chinese male presenting with prolonged respiratory symptoms was found to have a right-sided colopleural fistula confirmed by computed tomography imaging and a colonoscopy. It was addressed surgically after multidisciplinary consensus was reached, with a right hemicolectomy and repair of the diaphragmatic defect. The patient recovered remarkably well with resolution of respiratory symptoms. Conclusion Appropriate work-up of a suspected colopleural fistula with radiological and endoscopic investigations to determine anatomy and etiology is crucial. Most cases will require surgical management, and involvement of the respiratory and cardiothoracic teams is important to optimize lung function preoperatively and plan for possible chest complications.

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Section: Discussionmentioning

confidence: 99%

Right-sided colopleural fistula secondary to diverticular disease: a case report

Hassan

Singh

2022

J Med Case Reports

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Repair of Bochdalek hernia in an adult complicated by abdominal compartment syndrome, gastropleural fistula and pleural empyema: Report of a case

Suzuki

Okamoto

Hanyu

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONBochdalek's diaphragmatic hernia (BDH) rarely developed symptomatic in adulthood but mostly required an operation. In adult BDH cases, long-term residing of the massive intraabdominal organs in the thoracic cavity passively causes loss of domain for abdominal organs (LOD).PRESENTATION OF CASEA 63-year-old man presented at our institution complaining of sudden left upper quadrant abdominal pain. Chest radiography showed a hyperdense lesion containing bowel gas in the left pleural space. Computed tomography revealed a dilated bowel above the diaphragm and intestinal obstruction suggestive of gangrenous changes. These findings were consistent with the diagnosis of incarcerated BDH and an emergency laparotomy was performed. Operative findings revealed the hypoplastic lung, lack of hernia sac, and location of the diaphragmatic defect, which indicated that his hernia was true congenital. Organs were reduced into the abdominal cavity, and large defect of the diaphragm was repaired with combination of direct vascular closure and intraperitoneal onlay mesh reinforcement using with expanded polytetrafluoroethylene (ePTFE) mesh. On the postoperative day 1, the patient fell into the shock and was diagnosed to have abdominal compartment syndrome (ACS). Conservative therapies were administered, but resulted in gastropleural fistula and pleural empyema, which required an emergency surgery. Mesh extraction and fistulectomy were performed.DISCUSSIONA PubMed search for the case of ACS after repair of the adult BDH revealed only three cases, making this very rare condition.CONCLUSIONIn dealing with adult BDH, possible post-repair ACS should be considered.

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Empyema resulting from a true colopleural fistula complicating a perforated sigmoid diverticulum

Papagiannopoulos

Gialvalis

Dodo

et al. 2004

The Annals of Thoracic Surgery

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Colo-pleural fistula

Abstract: A case of non-traumatic colo-pleural fistula is recorded for the first time as the cause of a long-standing pleural empyema. The patient was treated with drainage, antibiotics and parenteral nutrition. The fistula was the result of a diverticulitis coli and/or a pancreatitis.

Cited by 5 publications

References 4 publications

Right-sided colopleural fistula secondary to diverticular disease: a case report

Right-sided colopleural fistula secondary to diverticular disease: a case report

Repair of Bochdalek hernia in an adult complicated by abdominal compartment syndrome, gastropleural fistula and pleural empyema: Report of a case

Empyema resulting from a true colopleural fistula complicating a perforated sigmoid diverticulum

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