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Colobronchial fistula following a partial resection of the colon
1,Department of Diagnostic and Interventional Radiology University Hospital Split
2Department of Radiology, General Hospital Knin, Knin, Croatia
3Department of Otorhinolaryngology Head and Neck Surgery, University Hospital
4School of Medicine, Split
*Corresponding Author(s): MARINA MARAS-ŠIMUNIĆ E-mail: mmaras@kbsplit.hr
We report a case of colobronchial fistula as a late consequence of the resection of the colon due to relapse of the gastro-intestinal stromal tumor (GIST). A 54-year-old man experiencing pain in the left upper abdominal region underwent double-contrast barium enema which revealed a fistulous channel between the splenic flexure of the colon and the bronchial tree. Fiberoptic bronchoscopy, after an extensive washout and aspiration of barium sulphate, confirmed the existence of a fistula in left lower subsegmental bronchi. The patient underwent left lower lobectomy, resection of the colobronchial fistula and resection of the splenic flexure of the colon. A year after the operation, the multidetector computed tomography (MDCT) showed neither signs of malignant abdominal disease, nor signs of pathological changes in the lung bases.
colobronchial fistula, barium enema, colon resection, postoperative complication
MARINA MARAS-ŠIMUNIĆ,DRAGAN DRAGIČEVIĆ,MAJA ŠKORIĆ,NIKOLA KOLJA POLJAK,MARIN ŠIMUNIĆ. Colobronchial fistula following a partial resection of the colon. Signa Vitae. 2013. 8(2);70-73.
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