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Bronchoperitoneal Fistula Secondary to Right Lower Lobe Pneumonia
Sunil K Kumar1, Anisha S Tandon1, P V Satishkumar1
1Department of Radiology, Sakra World Hospital, Bengaluru, Karnataka, India.
A rare bronchoperitoneal fistula, secondary to pneumonia, was diagnosed in a young male. This condition can be overlooked, leading to misdiagnosis as hollow viscus perforation.
Area of Science:
- Pulmonology
- Gastroenterology
- Radiology
Background:
- Bronchoperitoneal fistula is an uncommon condition.
- Pneumonia can be an underlying cause.
- It can mimic hollow viscus perforation.
Observation:
- A 25-year-old male presented with abdominal pain and fever.
- Initial chest radiograph showed air under the right diaphragm.
- Provisional diagnosis was duodenal perforation.
Findings:
- Computed tomography (CT) confirmed a bronchoperitoneal fistula.
- CT revealed right lower lobe lung consolidation with a cavity.
- A right hemidiaphragmatic defect connected the lung to a subphrenic air pocket.
Implications:
- Accurate diagnosis of bronchoperitoneal fistula is crucial.
- Overlooking this entity can lead to mismanagement.
- Awareness aids in correct interpretation of imaging findings.
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