Idiopathic colopleural fistula presenting with lung abscess and refractory empyema:A case report

作     者：Chun-Li Wang Kung-Chuan Cheng 

作者机构：Division of Colorectal SurgeryDepartment of SurgeryKaohsiung Chang Gung Memorial HospitalKaohsiung 833Taiwan 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第4期

页      面：740-744页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Colopleural fistula Lung abscess Empyema Colonic flora Case report 

摘      要：BACKGROUND Colopleural fistula is a rare condition,and only a limited number of cases have been ***,we report a case of idiopathic colopleural fistula in an adult without any known predisposing *** patient presented with a lung abscess and refractory empyema and was successfully treated with surgical *** SUMMARY A 47-year-old man with a history of lung tuberculosis,which had been completely cured 4 years ago,presented to our emergency department with a productive cough and fever for 3 *** his history,he had undergone left lower lobe segmentectomy of the left lung due to lung abscess one year ago at another ***,he developed refractory empyema postoperatively despite surgical intervention including decortication and flap *** admission,we reviewed his previous medical images and noted a fistula tract between the left pleural cavity and splenic *** addition,according to his medical records,bacterial culture of the thoracic drainage showed growth of Escherichia coli and Bacteroides *** lower gastrointestinal series and colonoscopy confirmed the diagnosis of colopleural *** patient underwent a left hemicolectomy,splenectomy,and distal pancreatectomy,and the diaphragm was repaired under our *** further empyema recurrence was noted during *** Indicative signs of colopleural fistula include refractory empyema accompanied by the growth of colonic flora in the pleural fluid.