Bronchoperitoneal fistula from a lung abscess.
Fistula formation between the bronchi and peritoneal cavity is extremely rare. In previous reports, fistulas have occurred secondary to thoraco-abdominal trauma, subphrenic abscess, suppurative biliary tract obstruction, malignancy and iatrogenically through procedures such as biliary surgery or percutaneous biliary drainage. The direction of fistula formation has always been thought to be from the peritoneal cavity to the bronchi: there are no reports of a fistula with a bronchial origin. This case report presents a patient who presented with sepsis and a bronchoperitoneal fistula and pneumoperitoneum secondary to lung abscess.
Hsu
Po-Shun
PS
Department of Surgery, Division of Cardiovascular Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Lee
Shih-Chun
SC
Tzao
Ching
C
Chen
Cheng-Jueng
CJ
Cheng
Yeung-Leung
YL
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001983:Bronchial Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015505:Chest Tubes; D003937:Diagnosis, Differential; D004322:Drainage / Q000295:instrumentation; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005402:Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D007813:Laparotomy / Q000379:methods; D008169:Lung Abscess / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents