Barisiae G, Krivokapiae Z, Adziae T, Pavloviae A, Popoviae M, Gojniae M
Institute for Digestive Diseases, Clinical Center of Serbia, Belgrade, Serbia and Montenegro.
BMC Gastroenterol. 2006 Jun 6;6:17. doi: 10.1186/1471-230X-6-17.
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.
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.
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.
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。
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。