Pleurocutaneous fistula secondary to empyema

Authors

Keywords:

pleurocutaneous fistula, empyema, fistulography, axial computerized tomography.

Abstract

Introduction: Pleurocutaneous fistula is a rare entity that appears as a complication of thoracic traumatisms, pleuropulmonary surgery or infectious processes that affect the pleural space, such as empyema.
Objective: Describe the clinical-imaging findings of a patient with a pleurocutaneous fistula secondary to empyema.
Clinical case: 56-year-old white male patient of rural origin, inveterate smoker and habitual consumer of alcoholic beverages, with a personal pathological history of community-acquired pneumonia that required hospitalization due to the onset of pleural complications. He went to the internal medicine service of the "Vladimir Ilyich Lenin" Hospital because for two months he had noticed a hole under his right armpit, through which he was draining foul-smelling fluid. The imaging studies performed included fistulography and computerized axial tomography. The clinical imaging diagnosis was pleurocutaneous fistula. The patient was admitted to the Medicine service to comply with antimicrobial treatment; diagnostic and therapeutic interventionist procedures were performed; he evolved with complications and passed away. Pleurocutaneous fistula is a difficult complication for the attending physician, since it does not always usually resolve with traditional methods of treatment and requires long periods of healing.
Conclusions: Pleurocutaneous fistula is rare and difficult to manage. The certainty diagnosis is made through fistulography.

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References

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Published

2021-12-30

How to Cite

1.
Fornaris Pérez YA, Nonell Fernández L del R, Rodríquez Infanzón OL, Pérez Águedo D, Pérez Rodríguez V, Ramos Palacios LY. Pleurocutaneous fistula secondary to empyema. Rev Cubana Med Milit [Internet]. 2021 Dec. 30 [cited 2025 Apr. 3];51(1):e02201446. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1446

Issue

Vol. 51 No. 1 (2022): January - March

Section

Case Presentation

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