Bronchoperitoneal Fistula Secondary to Right Lower Lobe Pneumonia.

Indian J Radiol Imaging

Department of Radiology, Sakra World Hospital, Bengaluru, Karnataka, India.

Published: June 2022

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://www.ncbi.nlm.nih.gov/pmc/articles/PMC9340195PMC
http://dx.doi.org/10.1055/s-0042-1744235DOI Listing

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Article Synopsis
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Bronchoperitoneal Fistula Secondary to Right Lower Lobe Pneumonia.

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.

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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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