Esophagopleural fistula
Citation, DOI, disclosures and article data
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosuresAt the time the article was last revised Henry Knipe had the following disclosures:
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.
View Henry Knipe's current disclosures- Oesophagopleural fistulation
- Oesophago-pleural fistula
- Oesophago-pleural fistulation
- Esophagopleural fistula
- Esophago-pleural fistula
- Pleuro-oesophageal fistula
- Oesophageal-pleural fistulation
Esophagopleural fistulas are abnormal connections 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 tumor, e.g. esophageal cancer, lung cancer 7
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. Gas in the pleural space +/- pneumothorax/hydropneumothorax in correct clinical setting may also be useful in the diagnosis.
References
- 1. Wechsler RJ. CT of esophageal-pleural fistulae. AJR Am J Roentgenol. 1986;147 (5): 907-9. doi:10.2214/ajr.147.5.907 - Pubmed citation
- 2. Wechsler RJ, Steiner RM, Goodman LR et-al. Iatrogenic esophageal-pleural fistula: subtlety of diagnosis in the absence of mediastinitis. Radiology. 1982;144 (2): 239-43. Pubmed citation
- 3. Giménez A, Franquet T, Erasmus JJ et-al. Thoracic complications of esophageal disorders. Radiographics. 2002;22 Spec No (suppl 1): S247-58. Radiographics (full text) - doi:10.1148/radiographics.22.suppl_1.g02oc18s247 - Pubmed citation
- 4. Vyas S, Prakash M, Kaman L et-al. Spontaneous esophageal-pleural fistula. Lung India. 2011;28 (4): 300-2. doi:10.4103/0970-2113.85696 - Free text at pubmed - Pubmed citation
- 5. Kumar S, Singh A, Matreja PS et-al. A case report of a spontaneous oesophageal pleural fistula. J Clin Diagn Res. 2013;7 (3): 522-4. doi:10.7860/JCDR/2013/4950.2811 - Free text at pubmed - Pubmed citation
- 6. Gupta KB, Manchanda M, Vermas M. Tuberculous oesophagopleural fistula. J Indian Med Assoc. 2012;109 (7): 504-5. Pubmed citation
- 7. Long K & Dolina M. An Esophago-Pleural Fistula in a Case of Non-Resolving Pneumonia in a Patient With a History of Lung Cancer. Chest. 2016;150(4):748A. doi:10.1016/j.chest.2016.08.843
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