Iatrogenic esophageal-pleural fistula: subtlety of diagnosis in the absence of mediastinitis. Radiology 1982 Jul;144(2):239-43
Date
07/01/1982Pubmed ID
7089274DOI
10.1148/radiology.144.2.7089274Scopus ID
2-s2.0-0019993613 (requires institutional sign-in at Scopus site) 21 CitationsAbstract
Seven patients with iatrogenic esophageal-pleural fistulas are described, and the differences in radiographic and physical findings in these patients and in patients with esophageal perforation with mediastinitis are emphasized. Radiographic findings in patients with esophageal pleural fistulas are pneumothorax, hydropneumothorax and localized pneumonitis. These fistulas can mimic other inflammatory supradiaphragmatic or infradiaphragmatic processes. Clinical and radiographic signs may be subtle, and active investigation is needed to establish the diagnosis of esophageal-pleural fistula in patients who have undergone esophageal manipulation.
Author List
Wechsler RJ, Steiner RM, Goodman LR, Teplick SK, Mapp E, Laufer IMESH terms used to index this publication - Major topics in bold
AdultAged
Diagnosis, Differential
Esophageal Fistula
Esophagus
Female
Fistula
Humans
Iatrogenic Disease
Male
Mediastinitis
Middle Aged
Pleural Diseases
Radiography