Advertisement

Pleurocutaneous fistula as a complication of oleothorax CT findings in three patients

      This paper is only available as a PDF. To read, Please Download here.

      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

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Horowitz MD
        • Otero M
        • Thurer RJ
        Late complications of plombage.
        Ann Thorac Surg. 1992; 53: 803-806
        • Hutton L
        Oleothorax: expanding pleural lesion.
        AJR. 1984; 142: 1107-1110
        • Mullen DM
        • Radan BA
        • et al.
        Computed tomography of oleothorax.
        J Comput Tomogr. 1986; 10: 197-199
        • Newman MM
        The olden days of surgery for tuberculosis.
        Ann Thorac Surg. 1989; 48: 161-162
        • Walkup HE
        • Murphy JD
        Extrapleural pneumonolysis with plombage.
        Am J Surg. 1949; 78: 245-250
        • Baer G
        Ueber Extrapleurale Pneumolyse Mit Sofortiger Plombierung bei Leungetuberkulose.
        Muncbe Med Webnscbr. 1913; 60: 1587-1590
        • Baer G
        Beitrag zur Kavernenchirurgie.
        Berl Klin Webnebr. 1913; : 3
        • Shepard M
        Plombage in the 1980s.
        Thorax. 1985; 40: 328-340
        • Skinner JS
        • Sinclair DJ
        Fatal mediastinal compression as a late complication of surgical plombage.
        Thorax. 1992; 47: 321-322