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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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Autores principales: AlAmeel, Turki, MacLean, D Alex, MacDougall, Ryan
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
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.
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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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