Kumar Manoj, Chandra Abhijit, Kumar Santosh
Department of Radiodiagnosis, Chhatrapati Shahuji Maharaj Medical University, Lucknow, India.
BMJ Case Rep. 2011 Jul 20;2011:bcr0620114296. doi: 10.1136/bcr.06.2011.4296.
A 37-year-old woman presented with a chief complaint of fecoptysis since 1 month. She belongs to low socio-economic status. There was no history of pulmonary tuberculosis or trauma.With the help of radiological findings, the authors were able to establish this rare diagnosis 'right-sided diaphragmatic hernia complicated with broncho-pleuro-colonic fistula presenting as fecoptysis'. Diaphragmatic hernia is a common finding in day to day practice. Fistula between bowel loops and other viscera are also common entity, but fistula between pulmonary air-way passage and colon is a rare finding. Right-sided broncho-pleuro-colonic fistula is an extremely rare entity among these conditions.
一名37岁女性以1个月来的咯血为主诉就诊。她属于社会经济地位较低人群。既往无肺结核或外伤史。借助影像学检查结果，作者得以确诊这一罕见病症，即“右侧膈疝合并支气管 - 胸膜 - 结肠瘘，表现为咯血”。膈疝在日常临床实践中较为常见。肠袢与其他内脏之间的瘘管也较为常见，但肺气道与结肠之间的瘘管实属罕见。在这些病症中，右侧支气管 - 胸膜 - 结肠瘘更是极为罕见。
