Wechsler R J, Steiner R M, Goodman L R, Teplick S K, Mapp E, Laufer I
Radiology. 1982 Jul;144(2):239-43. doi: 10.1148/radiology.144.2.7089274.
Seven patients with iatrogenic esophageal-pleural fistulas are described, and the differences in radiographic and physical findings in these patients and in patients with esophageal perforation with mediastinitis are emphasized. Radiographic findings in patients with esophageal pleural fistulas are pneumothorax, hydropneumothorax and localized pneumonitis. These fistulas can mimic other inflammatory supradiaphragmatic or infradiaphragmatic processes. Clinical and radiographic signs may be subtle, and active investigation is needed to establish the diagnosis of esophageal-pleural fistula in patients who have undergone esophageal manipulation.
本文描述了7例医源性食管胸膜瘘患者，并强调了这些患者与伴有纵隔炎的食管穿孔患者在影像学和体格检查结果上的差异。食管胸膜瘘患者的影像学表现为气胸、液气胸和局限性肺炎。这些瘘可类似于其他膈上或膈下炎症性病变。临床和影像学征象可能不明显，对于接受过食管手术的患者，需要积极检查以确诊食管胸膜瘘。
