Colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancer
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...
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The Journal of Infection in Developing Countries
2025-05-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/19318 |
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| author | Milan Savic Zeljko Garabinovic Nikola Colic Marko Kostic Miljan Ceranic Jovan Peric Mihailo Stjepanovic |
| author_facet | Milan Savic Zeljko Garabinovic Nikola Colic Marko Kostic Miljan Ceranic Jovan Peric Mihailo Stjepanovic |
| author_sort | Milan Savic |
| collection | DOAJ |
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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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| format | Article |
| id | doaj-art-32ae17c3cee142e796a14c034bfa77cb |
| institution | OA Journals |
| issn | 1972-2680 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-32ae17c3cee142e796a14c034bfa77cb2025-08-20T02:37:16ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802025-05-01190510.3855/jidc.19318Colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancerMilan Savic0Zeljko Garabinovic1Nikola Colic2Marko Kostic3Miljan Ceranic4Jovan Peric5Mihailo Stjepanovic6Clinic for Thoracic Surgery, University Clinical Center of Serbia, Belgrade, SerbiaClinic for Thoracic Surgery, University Clinical Center of Serbia, Belgrade, SerbiaCenter for Radiology, University Clinical Center of Serbia, Belgrade, SerbiaClinic for Thoracic Surgery, University Clinical Center of Serbia, Belgrade, SerbiaFaculty of Medicine, University of Belgrade, Belgrade, SerbiaCenter for Anesthesiology and Resuscitation, University Clinical Center of Serbia, Belgrade, SerbiaFaculty of Medicine, University of Belgrade, Belgrade, Serbia 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. https://jidc.org/index.php/journal/article/view/19318Colopleurocutaneous fistulaempyemacolorectal cancer |
| spellingShingle | Milan Savic Zeljko Garabinovic Nikola Colic Marko Kostic Miljan Ceranic Jovan Peric Mihailo Stjepanovic Colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancer Journal of Infection in Developing Countries Colopleurocutaneous fistula empyema colorectal cancer |
| title | Colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancer |
| title_full | Colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancer |
| title_fullStr | Colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancer |
| title_full_unstemmed | Colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancer |
| title_short | Colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancer |
| title_sort | colopleurocutaneous fistula associated with empyema as a late complication of colorectal cancer |
| topic | Colopleurocutaneous fistula empyema colorectal cancer |
| url | https://jidc.org/index.php/journal/article/view/19318 |
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