结肠支气管瘘：克罗恩病中导致肺炎迁延不愈的罕见病因。
Colobronchial fistula: a rare cause of non-resolving pneumonia in Crohn's disease.
作者信息
El-Hag Karim, Renzulli Pietro, Franzen Daniel, Kohler Malcolm
机构信息
Department of Internal Medicine/Pulmonology, Kantonsspital Münsterlingen, Münsterlingen, Switzerland.
Department of Surgery, Kantonsspital Münsterlingen, Münsterlingen, Switzerland.
出版信息
BMJ Case Rep. 2018 Aug 20;2018:bcr-2018-224408. doi: 10.1136/bcr-2018-224408.
We discuss the case of a 44-year-old man with a refractory left lower lobe pneumonia progressing to a pulmonary abscess caused by a colobronchial fistula, a rare complication of underlying Crohn's disease. The patient presented with weight loss and signs of a pulmonary consolidation, which responded incompletely to the targeted antibiotic treatment. The causative colobronchial fistula was demonstrated by CT-guided puncture and retrograde injection of contrast medium. After fistula excision, the patient recovered rapidly with a weight gain of 4 kg within a few weeks.
我们讨论了一名44岁男性的病例，该患者患有难治性左下叶肺炎，进展为肺脓肿，病因是支气管瘘，这是潜在克罗恩病的一种罕见并发症。患者出现体重减轻和肺部实变体征，针对性抗生素治疗反应不完全。通过CT引导穿刺和逆行注射造影剂证实了病因性支气管瘘。瘘管切除术后，患者迅速康复，几周内体重增加了4千克。
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