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Tuberculous oesophagopleural fistula
K B Gupta1, Manav Manchanda, Manish Vermas
1Department of Tuberculosis and Chest Diseases, Postgraduate Institute of Medical Sciences, Rohtak 124001.
Journal of the Indian Medical Association
|February 10, 2012
Summary
This case report details a rare simultaneous occurrence of oesophagopleural and broncho-oesophageal fistulas in a patient with hydropneumothorax. Tuberculous mediastinal lymphadenopathy was identified as the cause of these complex tuberculous fistulas.
Area of Science:
- Pulmonology
- Gastroenterology
- Infectious Diseases
Background:
- Hydropneumothorax is a rare condition.
- Oesophagopleural and broncho-oesophageal fistulas are typically reported as separate clinical entities.
- Tuberculosis is an uncommon cause of these fistulas.
Observation:
- A patient presented with hydropneumothorax.
- Clinical suspicion of oesophagopleural fistula was based on pleural fluid color.
- Barium swallow confirmed esophageal leak into the pleural cavity.
Findings:
- Computed tomography (CT) of the chest with oral contrast confirmed simultaneous oesophagopleural and broncho-oesophageal fistulas.
- The fistulas were attributed to tuberculous mediastinal lymphadenopathy.
- This represents a unique simultaneous presentation of these conditions.
Implications:
- This case highlights the importance of considering tuberculosis in the etiology of complex esophageal fistulas.
- Simultaneous oesophagopleural and broncho-oesophageal fistulas require thorough diagnostic investigation.
- Early and accurate diagnosis is crucial for effective management of such rare presentations.
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