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Enterobronchial fistula
Gastrointestinal Radiology
|January 1, 1987
Summary
A rare jejunal fistula extending through the diaphragm to the pleura and bronchial tree was identified. Computed tomography and upper gastrointestinal series confirmed this unusual gastropleural fistula.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Diagnostic Imaging
Background:
- Gastropleural fistulas are rare complications, often associated with surgical procedures or trauma.
- Jejunal fistulas, specifically, are uncommon and present diagnostic challenges.
Observation:
- A computed tomographic (CT) examination of the chest initially suggested the presence of an unusual fistula.
- The fistula appeared to originate from the jejunum and extend superiorly, crossing the diaphragm.
Findings:
- An upper gastrointestinal (GI) series definitively confirmed the jejunal origin of the fistula.
- The fistula tract involved the pleural space and the bronchial tree, indicating a complex anatomical communication.
Implications:
- This case highlights the importance of multi-modality imaging in diagnosing rare fistulous communications.
- Understanding the pathway of such fistulas is crucial for appropriate surgical or endoscopic management.
- Early and accurate diagnosis can prevent serious complications like infection and respiratory distress.