Oesophageal-pleural fistula

Dr Henry Knipe and Dr Yuranga Weerakkody et al.

An oesophageal-pleural fistula refers to an abnormal connection between the oesophagus and pleura

Pathology

They can arise from a number of underlying pathologies which can result in an oesophageal rupture 3:

  • post surgical
  • endoscopic procedures
    • post oesophageal dilatation
  • secondary to a tumour, e.g. oesophageal carcinoma
  • oesophageal tuberculosis 6 
  • from chemical injury following ingestion of corrosive substances
  • from irradiation

Radiographic features

CT

Thoracic CT with oesophageal (oral) contrast may show a direct communication with the pleural space. Air in the pleural space +/- hydropneumothorax in correct clinical setting may also be useful in the diagnosis.

Oesophageal pathology
Share article

Article information

rID: 26164
System: Chest
Tag: cases
Synonyms or Alternate Spellings:
  • Oesophagopleural fistulation
  • Oesophago-pleural fistula
  • Oesophago-pleural fistulation
  • Esophagopleural fistula
  • Esophago-pleural fistula
  • Pleuro-oesophageal fistula
  • Oesophageal-pleural fistulation

Support Radiopaedia and see fewer ads

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.