Abstract
BackgroundEnterogenic empyema is an uncommon complication of colobronchial fistula (CBF). We reported a case of enterogenic empyema patient after surgery for CBF.Case presentationA 66-year-old gentleman presented with persistent fever and repeated hemoptysis for 8 months. Computed tomography of the thorax confirmed the presence of a consolidation mass located in the right middle lobe and an air space near the right rib angle. During exploration, CBF was found. The patient underwent right middle and lower lobectomy together with closure of colonic and diaphragmatic perforation. The colon closure and diaphragm closure ruptured after surgery, leading to enterogenic empyema. Adequate drainage, sustained high protein diet, and antibiotic treatment eventually resulted in full recovery.ConclusionThis is the first report of enterogenic empyema complicating CBF.
Highlights
The fistula between the respiratory and digestive systems is uncommon and needs to be diagnosed in time because of the severe clinical outcome
We report an enterogenic empyema complicating surgery to treat a colobronchial fistula (CBF) which presented as a lung abscess
CBF is an uncommon problem with complicated etiology and clinical presentations
Summary
The fistula between the respiratory and digestive systems is uncommon and needs to be diagnosed in time because of the severe clinical outcome. It is the complication of previous surgery resulting in the connection between the chest cavity and the digestive tract. We report an enterogenic empyema complicating surgery to treat a CBF which presented as a lung abscess. The patient presented with hemoptysis again 2 months later but he refused surgery. The patient agreed to right middle and lower lobectomy by open surgery.
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