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Abstract
The purpose of this study was to highlight pleurocutaneous fistula, documented on
computed tomography (CT) scans, as a complication of oleothorax. CT images of the
chest were evaluated retrospectively in three patients with pleurocutaneous fistula
complicating oleothorax. The images documented oleothorax rupture in all three, with
only one patient (case 2) showing concomitant surrounding chest wall and axillary
inflammatory reaction. Surgery performed on one patient (case 1) confirmed the CT
findings. While CT is invaluable in the demonstration of complications of oleothorax,
to our knowledge CT depiction of oleothorax has not been reported in the literature.
This complication may be more common than described in earlier literature, with the
advent of cross-sectional imaging. In the right clinical setting, CT findings of inflammation
or edema surrounding the oleothorax rupture may warrant surgical intervention.
Keywords
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Copyright
© 1995 Published by Elsevier Inc.