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Colobronchial fistula presenting with persistent pneumonia in a patient with Crohn's disease: a case report
Colobronchial fistula is an uncommon complication of Crohn's Disease. It is also rarely diagnosed on first presentation. We describe a case of colobronchial fistula and recurrent pneumonia in a patient with Crohn's Disease. A 52-year-old gentleman with a history of Crohn's Disease pre...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803911/ https://www.ncbi.nlm.nih.gov/pubmed/20062691 http://dx.doi.org/10.1186/1757-1626-2-9114 |
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author | AlAmeel, Turki MacLean, D Alex MacDougall, Ryan |
author_facet | AlAmeel, Turki MacLean, D Alex MacDougall, Ryan |
author_sort | AlAmeel, Turki |
collection | PubMed |
description | Colobronchial fistula is an uncommon complication of Crohn's Disease. It is also rarely diagnosed on first presentation. We describe a case of colobronchial fistula and recurrent pneumonia in a patient with Crohn's Disease. A 52-year-old gentleman with a history of Crohn's Disease presented with cavitating left lower lobe pneumonia that did not resolve despite a one month course of antibiotics. A computed tomography of the thorax confirmed the presence of a cavitating left lower lobe pneumonia. A subsequent abdominal computed tomography revealed a fistulous communication between the colon at the splenic flexure and the left bronchial space. The patient underwent surgery and a fibrous tract was visualized from the splenic flexure to the left lung. Medical treatment was continued with a six week course of antibiotics and the patient was doing well 12 weeks after surgery. There have been few case reports of colobronchial fistula with a clinical picture similar to this case. |
format | Text |
id | pubmed-2803911 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28039112010-01-10 Colobronchial fistula presenting with persistent pneumonia in a patient with Crohn's disease: a case report AlAmeel, Turki MacLean, D Alex MacDougall, Ryan Cases J Case Report Colobronchial fistula is an uncommon complication of Crohn's Disease. It is also rarely diagnosed on first presentation. We describe a case of colobronchial fistula and recurrent pneumonia in a patient with Crohn's Disease. A 52-year-old gentleman with a history of Crohn's Disease presented with cavitating left lower lobe pneumonia that did not resolve despite a one month course of antibiotics. A computed tomography of the thorax confirmed the presence of a cavitating left lower lobe pneumonia. A subsequent abdominal computed tomography revealed a fistulous communication between the colon at the splenic flexure and the left bronchial space. The patient underwent surgery and a fibrous tract was visualized from the splenic flexure to the left lung. Medical treatment was continued with a six week course of antibiotics and the patient was doing well 12 weeks after surgery. There have been few case reports of colobronchial fistula with a clinical picture similar to this case. BioMed Central 2009-11-30 /pmc/articles/PMC2803911/ /pubmed/20062691 http://dx.doi.org/10.1186/1757-1626-2-9114 Text en Copyright ©2009 AlAmeel et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report AlAmeel, Turki MacLean, D Alex MacDougall, Ryan Colobronchial fistula presenting with persistent pneumonia in a patient with Crohn's disease: a case report |
title | Colobronchial fistula presenting with persistent pneumonia in a patient with Crohn's disease: a case report |
title_full | Colobronchial fistula presenting with persistent pneumonia in a patient with Crohn's disease: a case report |
title_fullStr | Colobronchial fistula presenting with persistent pneumonia in a patient with Crohn's disease: a case report |
title_full_unstemmed | Colobronchial fistula presenting with persistent pneumonia in a patient with Crohn's disease: a case report |
title_short | Colobronchial fistula presenting with persistent pneumonia in a patient with Crohn's disease: a case report |
title_sort | colobronchial fistula presenting with persistent pneumonia in a patient with crohn's disease: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803911/ https://www.ncbi.nlm.nih.gov/pubmed/20062691 http://dx.doi.org/10.1186/1757-1626-2-9114 |
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