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Unusual complication of colonic carcinoma: colonopleurobronchial fistula
  1. Poonam Sherwani1,
  2. Nirjhar Raj Rakesh2,
  3. Sumit Kumar1 and
  4. Sudhir Saxena1
  1. 1Radiodiagnosis, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  2. 2Department of GI surgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Poonam Sherwani; sherwanipoonam{at}gmail.com

Abstract

Colonopleurobronchial fistula (CPBF) is a rare complication which occurs due to diversified causes. Expectoration of the faecal material is the classical clinical symptom which suggests the diagnosis. Various causes include infection of pulmonary or abdominal origin, inflammatory bowel disease, colonic malignancy, diaphragmatic hernia and colonic interposition. Crohn’s disease is the frequent underlying pathology, colonic malignancy accounts for rare cause. Due to the presence of liver in right upper quadrant, most of the fistulas are on the left side. Here we describe a rare case of a 38-year-old man presented with right-sided CPBF due to underlying colonic malignancy. Bronchial block was done, however the patient succumbed to death.

  • Gastrointestinal system
  • Malignant disease and immunosuppression

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Footnotes

  • Contributors PS: conception and design of work. NRR: clinical details and management of the patient. SK: collecting the data and the literature research. SS: critical revision of the draft. The final manuscript was checked and approved by all authors. PS will act as guarantor for this paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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