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Case report


Gastropleural Fistula with Aortic Intramural Involvement

Akshya GuptaAbhishek ChaturvediPatrick FultzSusan Hobbs
Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA
Date of Submission: 01-Jan-2017, Date of Acceptance: 02-Feb-2017, Date of Web Publication: 20-Feb-2017.
Corresponding Author:
Corresponding Author

Akshya Gupta

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, Box 648, Rochester, NY 14642, USA.
E-mail: akshya_gupta@urmc.rochester.edu

Corresponding Author:
Corresponding Author

Akshya Gupta

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, Box 648, Rochester, NY 14642, USA.
E-mail: akshya_gupta@urmc.rochester.edu

DOI: 10.4103/jcis.JCIS_110_16 Facebook Twitter Google Linkedin

ABSTRACT


Gastropleural fistula is a relatively rare complication that can be seen as a result of traumatic, nontraumatic, benign, and neoplastic etiologies. Most commonly, these are found in patients with diaphragmatic herniation or prior thoracic surgery. Aortoenteric fistulas are rare communications typically between the abdominal aorta and bowel. We present a rare case of an 88‑year‑old male who developed a gastropleural fistula with erosions into the wall of the descending thoracic aorta. Computed tomography (CT) is a leading modality in evaluation of suspected gastropleural or aortoenteric fistulas given the quick scan time and widespread availability. Prompt diagnosis is essential and requires an understanding of appropriate CT protocols and CT imaging appearance.
Keywords: Aortoenteric fistula, Computed tomography, Empyema, Gastropleural fistula

Cited in 1 Document

  1. Abhishek Chaturvedi, Prabhakar Rajiah and Apeksha Chaturvedi (2019) Imaging of acquired transdiaphragmatic fistulae and communications. Clinical Imaging 53:78. doi: 10.1016/j.clinimag.2018.09.020

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