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Splenobronchial fistula: interventional radiologic management.

Gastrointestinal Radiology

|January 1, 1987

Summary

A ruptured splenic abscess complicated by a splenobronchial fistula was successfully treated with percutaneous catheter drainage. This minimally invasive approach led to abscess resolution and fistula closure within 12 days.

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Diverticular abscesses: percutaneous drainage.

Radiology·1987

Area of Science:

Gastroenterology
Interventional Radiology
Thoracic Surgery

Background:

Splenic abscesses can lead to serious complications, including rupture and fistula formation.
Splenobronchial fistulas are rare but life-threatening complications of splenic abscesses, often requiring complex management.
Percutaneous drainage is an established treatment for abscesses, but its efficacy in complex fistulizing presentations is less defined.

Observation:

A 71-year-old male patient presented with a splenic abscess complicated by rupture into the left subphrenic space.
The rupture resulted in the formation of a splenobronchial fistula, a challenging clinical scenario.
The patient underwent percutaneous catheter placement into both the splenic abscess and the subphrenic collection.

Findings:

The percutaneous drainage effectively managed the splenic abscess and the associated subphrenic collection.
Resolution of the abscesses was achieved through catheter drainage.
The splenobronchial fistula closed successfully following the percutaneous intervention.

Implications:

Percutaneous catheter drainage can be a safe and effective treatment for complicated splenic abscesses with fistula formation.
This minimally invasive approach offers a viable alternative to surgical intervention in select cases.
Early recognition and prompt percutaneous management can lead to favorable outcomes in patients with splenobronchial fistulas.

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