Esophageal-pleural fistula
Dr Yuranga Weerakkody ◉ et al.
An esophageal-pleural fistula refers to an abnormal connection between the esophagus and pleura.
Pathology
They can arise from a number of underlying pathologies which can result in an esophageal rupture 3:
- post surgical
- endoscopic procedures
- post esophageal dilatation
- secondary to a tumor, e.g. esophageal carcinoma
- esophageal tuberculosis 6
- from chemical injury following ingestion of corrosive substances
- from irradiation
Radiographic features
CT
Thoracic CT with esophageal (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.
Related Radiopaedia articles
Oesophageal pathology
- esophageal dysmotility
- esophageal tumors
- gastro-esophageal reflux disease
-
esophageal stricture
- benign esophageal stricture
- esophageal web
- esophageal ring
- malignant esophageal stricture
- esophageal stent
- benign esophageal stricture
- trauma
- infectious
- congenital
- gamuts
- megaesophagus
- pseudoachalasia
- surgical procedures
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