Colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancer.

IF 1.4 4区医学 Q4 INFECTIOUS DISEASES

Journal of Infection in Developing Countries Pub Date : 2025-05-31 DOI:10.3855/jidc.19318

Milan Savic, Zeljko Garabinovic, Nikola Colic, Marko Kostic, Miljan Ceranic, Jovan Peric, Mihailo Stjepanovic

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Abstract

Introduction: Pleurocutaneous fistula is a pathological communication of subcutaneous tissue with the pleural cavity, and can occur as a result of infectious, malignant processes and iatrogenic procedures. Colopleural fistula is rare and is mainly caused by processes in the abdomen. The appearance of empyema is usually described as a complication of colopleural fistulas that are the result of pathological processes in the abdomen.

Case presentation: We report an extremely rare case of colopleurocutaneous fistula with pleural empyema present, 8 years after left hemicolectomy due to colon adenocarcinoma. Radiological diagnostic procedures performed confirmed the existence of colopleurocutaneous fistula. The patient was given antibiogram therapy and regular thoracocentesis for empyema, as well as a fistulous canal toilet.

Conclusions: After achieving sterility of the fistulous canal and regression of empyema, the fistulous canal was closed with fibrin glue, and during the next 6 months follow-up, there was no reopening of the fistula, nor did the patient have any other complications.

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结肠胸膜皮瘘与脓胸相关，是结直肠癌的晚期并发症。

简介：胸膜皮瘘是皮下组织与胸膜腔的病理性沟通，可因感染、恶性过程和医源性手术而发生。摘要结肠胸膜瘘管是一种罕见的疾病，主要由腹部的突起引起。脓胸的出现通常被描述为腹部病理过程导致的胸膜瘘的并发症。病例介绍：我们报告一个极为罕见的病例，在因结肠腺癌而切除左结肠8年后，出现了胸膜脓肿。放射学诊断程序证实存在结肠胸膜皮瘘。患者给予抗生素治疗和定期胸腔穿刺术治疗脓胸，以及瘘管厕所。结论：瘘道无菌、脓胸消退后，用纤维蛋白胶封堵瘘道，随访6个月，无瘘道重开，患者无其他并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Infection in Developing Countries INFECTIOUS DISEASES-

CiteScore

3.70

自引率

5.30%

发文量

239

审稿时长

4-8 weeks

期刊介绍： The Journal of Infection in Developing Countries (JIDC) is an international journal, intended for the publication of scientific articles from Developing Countries by scientists from Developing Countries. JIDC is an independent, on-line publication with an international editorial board. JIDC is open access with no cost to view or download articles and reasonable cost for publication of research artcles, making JIDC easily availiable to scientists from resource restricted regions.