Radiodiagnosis, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Department of GI surgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
BMJ Case Rep. 2020 Dec 9;13(12):e237937. doi: 10.1136/bcr-2020-237937.
Colonopleurobronchial fistula (CPBF) is a rare complication which occurs due to diversified causes. Expectoration of the faecal material is the classical clinical symptom which suggests the diagnosis. Various causes include infection of pulmonary or abdominal origin, inflammatory bowel disease, colonic malignancy, diaphragmatic hernia and colonic interposition. Crohn's disease is the frequent underlying pathology, colonic malignancy accounts for rare cause. Due to the presence of liver in right upper quadrant, most of the fistulas are on the left side. Here we describe a rare case of a 38-year-old man presented with right-sided CPBF due to underlying colonic malignancy. Bronchial block was done, however the patient succumbed to death.
结肠胸膜支气管瘘（CPBF）是一种罕见的并发症，可由多种原因引起。咳痰带粪便样物质是提示诊断的典型临床症状。各种病因包括肺部或腹部来源的感染、炎症性肠病、结直肠恶性肿瘤、横膈疝和结肠间位。克罗恩病是常见的潜在病理，结直肠恶性肿瘤是罕见的病因。由于肝脏位于右上象限，大多数瘘管位于左侧。在此，我们描述了 1 例 38 岁男性，因结直肠恶性肿瘤导致右侧 CPBF 的罕见病例。行支气管堵塞术，但患者最终死亡。
