Hsu Po-Shun, Lee Shih-Chun, Tzao Ching, Chen Cheng-Jueng, Cheng Yeung-Leung
Department of Surgery, Division of Cardiovascular Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Respirology. 2008 Nov;13(7):1091-2. doi: 10.1111/j.1440-1843.2008.01346.x. Epub 2008 Jul 24.
Fistula formation between the bronchi and peritoneal cavity is extremely rare. In previous reports, fistulas have occurred secondary to thoraco-abdominal trauma, subphrenic abscess, suppurative biliary tract obstruction, malignancy and iatrogenically through procedures such as biliary surgery or percutaneous biliary drainage. The direction of fistula formation has always been thought to be from the peritoneal cavity to the bronchi: there are no reports of a fistula with a bronchial origin. This case report presents a patient who presented with sepsis and a bronchoperitoneal fistula and pneumoperitoneum secondary to lung abscess.
支气管与腹腔之间形成瘘管极为罕见。在既往报告中，瘘管继发于胸腹外伤、膈下脓肿、化脓性胆道梗阻、恶性肿瘤以及通过诸如胆道手术或经皮胆道引流等医源性操作。瘘管形成的方向一直被认为是从腹腔至支气管：尚无支气管源性瘘管的报告。本病例报告介绍了一名因肺脓肿继发败血症、支气管腹膜瘘和气腹的患者。
