Southwest Journal of Pulmonary and Critical Care | |
Medical image of the week: esophageal-pleural fistula | |
Luraschi-Monjagatta C1  Alzoubaidi M1  | |
[1] University of Arizona, Tucson, AZ; | |
关键词: esophageal fistula; esophageal-pleural fistula; pleural fistula; fistula; pneumonia; empyema; fundoplication; esophagram; CT scan; pneumonmediastinum; | |
DOI : 10.13175/swjpcc019-14 | |
来源: DOAJ |
【 摘 要 】
A 51 year old woman with rheumatoid arthritis, diabetes mellitus and gastroesophageal reflux disease had a transoral incisionless fundoplication for a hiatal hernia 6 months before admission. She presented with left lower lobe pneumonia and empyema. The esophagram showed a fistulous tract communicating with the pleural space (Figure 1). CT scan of the chest also showed air in the mediastinum (Figure 2) as well a fistulous tract in the three dimensional reconstruction (Figure 3). Esophagogastroduodenoscopy (EGD) showed an esophageal defect 5 cm above the gastroesophageal junction. An esophageal stent was placed with success.
【 授权许可】
Unknown