Medical image of the week: esophageal-pleural fistula

Southwest Journal of Pulmonary and Critical Care

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