Marques Pedro, Andrade Gisela, Granadas Joana, João Pedro, Abreu Natacha
Department of Radiology, Hospital Professor Doutor Fernando Fonseca, Amadora, PRT.
Cureus. 2020 Dec 20;12(12):e12187. doi: 10.7759/cureus.12187.
A bronchopleural fistula (BPF) is a communication between the pleural space and the bronchial tree or the lung parenchyma. Despite being a rare entity, a BPF may carry a high mortality rate. Symptoms of BPF are often nonspecific and subtle, so a high index of clinical suspicion is essential for its correct diagnosis, with imaging playing an extremely important role both in the diagnosis and in the selection of the most appropriate therapeutic approach for each patient. This paper reports a case of a 60-year-old male admitted to the hospital for an etiological investigation of a unilateral pleural effusion. The patient underwent several procedures, among them a video-assisted thoracic surgery, complicated by a peripheral BPF. Therapeutic approach for BPFs must be adapted to each particular case. In this patient, a conservative approach proved to be effective. Meanwhile, the patient was diagnosed with pleural tuberculosis, being discharged on antibacillary medication and while improving BPF's manifestations.
支气管胸膜瘘（BPF）是胸膜腔与支气管树或肺实质之间的连通。尽管BPF是一种罕见病症，但可能具有较高的死亡率。BPF的症状通常不具特异性且较为隐匿，因此高度的临床怀疑指数对于其正确诊断至关重要，影像学在诊断以及为每位患者选择最合适的治疗方法方面都发挥着极其重要的作用。本文报告了一例60岁男性因单侧胸腔积液的病因调查入院的病例。该患者接受了多项检查，其中包括电视辅助胸腔镜手术，并发周围型BPF。BPF的治疗方法必须根据每个具体病例进行调整。在该患者中，保守治疗方法被证明是有效的。同时，该患者被诊断为胸膜结核，在接受抗结核药物治疗并改善BPF表现的情况下出院。
