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粪气胸和结肠胸膜瘘——克罗恩病的罕见并发症。

Fecopneumothorax and colopleural fistula - uncommon complications of Crohn's disease.

作者信息

Barisiae G, Krivokapiae Z, Adziae T, Pavloviae A, Popoviae M, Gojniae M

机构信息

Institute for Digestive Diseases, Clinical Center of Serbia, Belgrade, Serbia and Montenegro.

出版信息

BMC Gastroenterol. 2006 Jun 6;6:17. doi: 10.1186/1471-230X-6-17.

DOI:10.1186/1471-230X-6-17
PMID:16756646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1550411/
Abstract

BACKGROUND

Colopleural fistula and fecopneumothorax are very rare complications of Crohn's disease. Fistula formation is frequent in Crohn's disease and occurs in approximately 33% of patients. On the other hand, fistulous communication between the pleural cavity and adjacent organs below the diaphragm is extremely rare.

CASE PRESENTATION

We describe the case of 27 year-old female with colopleural fistula as a complication of Crohn's disease. The diagnosis was established with clinical exam, barium enema, chest X-ray, abdominal and chest CT exam. The treatment was surgical.

CONCLUSION

Colopleural fistula and fecopneumothorax are rare but life treating complications of Crohn's disease. Surgical treatment is mandatory as soon as the diagnosis is established.

摘要

背景

结肠胸膜瘘和粪气胸是克罗恩病非常罕见的并发症。瘘管形成在克罗恩病中很常见,约33%的患者会出现。另一方面,胸腔与膈下相邻器官之间的瘘管沟通极为罕见。

病例报告

我们描述了一名27岁女性因克罗恩病并发结肠胸膜瘘的病例。通过临床检查、钡灌肠、胸部X线、腹部和胸部CT检查确诊。治疗方式为手术。

结论

结肠胸膜瘘和粪气胸是克罗恩病罕见但危及生命的并发症。一旦确诊,必须进行手术治疗。

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2
Crohn's disease associated with colo-bronchial fistula.克罗恩病合并结肠支气管瘘
Intern Med. 1996 Dec;35(12):957-60. doi: 10.2169/internalmedicine.35.957.
3
Colobronchial fistula: an unusual complication of Crohn's disease.结肠支气管瘘:克罗恩病的一种罕见并发症。
J Med Case Rep. 2022 Nov 27;16(1):442. doi: 10.1186/s13256-022-03668-1.
4
Tension Fecopneumothorax.张力性粪气胸
J Emerg Trauma Shock. 2022 Apr-Jun;15(2):105-107. doi: 10.4103/jets.jets_100_21. Epub 2022 Jun 27.
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Colopleural fistula caused by aspergillus: an extremely rare complication after lung resection-case report.曲霉菌引起的结肠胸膜瘘:肺切除术后极其罕见的并发症——病例报告
Surg Case Rep. 2016 Dec;2(1):40. doi: 10.1186/s40792-016-0167-0. Epub 2016 Apr 23.
6
Pulmonary manifestations of inflammatory bowel disease.炎症性肠病的肺部表现。
World J Gastroenterol. 2014 Oct 7;20(37):13501-11. doi: 10.3748/wjg.v20.i37.13501.
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Left colon cancer presenting as fecopneumothorax: a case report and review of literature.以粪气胸为表现的左结肠癌:一例病例报告及文献复习
Int J Colorectal Dis. 2015 Feb;30(2):275-6. doi: 10.1007/s00384-014-1970-3. Epub 2014 Jul 26.
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Pulmonary manifestations of Crohn's disease.克罗恩病的肺部表现。
World J Gastroenterol. 2014 Jan 7;20(1):133-41. doi: 10.3748/wjg.v20.i1.133.
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