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Related Experiment Videos

Colo-pleural fistula.

L L Olesen1, J T Pedersen

  • 1Department of Respiratory Medicine, Aalborg Sygehus, Denmark.

The European Respiratory Journal
|September 1, 1989
PubMed
Summary
This summary is machine-generated.

A rare non-traumatic colo-pleural fistula, stemming from colonic diverticulitis or pancreatitis, caused long-term pleural empyema. This case highlights a unique cause for persistent pleural infections requiring specific diagnostic and treatment considerations.

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Area of Science:

  • Gastroenterology
  • Pulmonology
  • General Surgery

Background:

  • Pleural empyema is a serious condition often caused by bacterial infection.
  • Colo-pleural fistulas are rare, typically resulting from trauma or malignancy.
  • Non-traumatic etiologies for colo-pleural fistulas are exceptionally uncommon.

Observation:

  • A patient presented with a long-standing, unresolved pleural empyema.
  • Diagnostic workup revealed a non-traumatic fistula connecting the colon to the pleural space.
  • The underlying cause of the fistula was attributed to diverticulitis of the colon and/or pancreatitis.

Findings:

  • This case represents the first documented instance of a non-traumatic colo-pleural fistula as the etiology of chronic pleural empyema.

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  • Successful management involved a multi-modal approach including pleural drainage, antibiotic therapy, and parenteral nutrition.
  • The fistula's origin from colonic diverticulitis or pancreatitis underscores the importance of considering gastrointestinal origins in complex pleural diseases.

    • Implications:

    • This case expands the differential diagnosis for chronic pleural empyema, particularly in the absence of trauma or malignancy.
    • It emphasizes the need for thorough investigation into potential gastrointestinal sources when managing refractory pleural infections.
    • Recognition of this rare fistula type can guide appropriate diagnostic imaging and surgical planning.