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Enterobronchial fistula.

R L Richterman, D F Caroline, A C Friedman

    Gastrointestinal Radiology
    |January 1, 1987
    PubMed
    Summary
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    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:

    Related Experiment Videos

    • 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.