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

World Journal of Gastrointestinal Surgery 2023年第4期15卷 740-744页

作者： Chun-Li Wang Kung-Chuan Cheng Division of Colorectal Surgery Department of SurgeryKaohsiung Chang Gung Memorial HospitalKaohsiung 833Taiwan

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.

关键词： Colopleural fistula Lung abscess Empyema colonic flora Case report

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