In this case report, we report a case of bronchoperitoneal fistula secondary to pneumonia in a 25-year-old male patient who presented with pain abdomen and fever with provisional diagnosis of duodenal perforation and air under right diaphragm in chest radiograph. Diagnosis of bronchoperitoneal fistula was made on computed tomographic findings, which showed consolidation and small cavity in the right lower lung lobe communicating with a loculated air pocket in the right subphrenic space through a right hemidiaphragmatic defect. Knowledge of this entity is important as fistula can be overlooked and can lead to mismanagement. Bronchoperitoneal fistula is rare entity that can be overlooked in imaging and can lead to misinterpretation and mismanagement as hollow viscus perforation.
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http://dx.doi.org/10.1055/s-0042-1744235 | DOI Listing |
J Bronchology Interv Pulmonol
July 2024
Department of Pulmonology, Respiratory Institute.
Indian J Radiol Imaging
June 2022
Department of Radiology, Sakra World Hospital, Bengaluru, Karnataka, India.
In this case report, we report a case of bronchoperitoneal fistula secondary to pneumonia in a 25-year-old male patient who presented with pain abdomen and fever with provisional diagnosis of duodenal perforation and air under right diaphragm in chest radiograph. Diagnosis of bronchoperitoneal fistula was made on computed tomographic findings, which showed consolidation and small cavity in the right lower lung lobe communicating with a loculated air pocket in the right subphrenic space through a right hemidiaphragmatic defect. Knowledge of this entity is important as fistula can be overlooked and can lead to mismanagement.
View Article and Find Full Text PDFJ Pediatr Surg Case Rep
April 2022
Department of Pediatric Surgery, Medical University of South Carolina Shawn Jenkins Children's Hospital, USA.
Symptomatic COVID-19 less frequently affects the pediatric population and is often associated with atypical presenting symptoms. Here we describe a nine-year-old patient who presented with acute hypoxic respiratory failure and was found to have perforated appendicitis, intra-abdominal abscess, and bronchoperitoneal fistula. The rapid progression of this pathology, complex critical care decision making, and ultimate surgical management has not been previously described.
View Article and Find Full Text PDFCureus
December 2019
Surgery, University of Texas Health Science Center, San Antonio, USA.
Bronchoperitoneal fistulas are rare but serious pathologies that pose numerous treatment challenges to physicians. There is usually a delay in diagnosis, and treatment recommendations are mainly derived from case reports. Here, we present an interesting case of a patient who developed a left bronchoperitoneal fistula and two subsequent enterocutaneous fistulas resulting from a massive intra-abdominal phlegmon eroding through the left diaphragm.
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