Bronchial Fistula

Bronchial Fistula

 

a pathological canal between the lumen of a bronchus and a cavity in the lung, pleural cavity, any internal organ, or the skin surface. A bronchial fistula may develop when there are penetrating wounds of the thorax and after lung surgery; more rarely, it may occur as a result of purulent diseases of the lungs. Bronchial fistulas consist either of canals that are single from beginning to end or of canals that originate from several bronchi and end in several openings—so-called reticular, or latticed, bronchial fistulas. Bronchial fistulas are manifested by elevation of temperature, moderate dyspnea, a cough with mucopurulent or bloody sputum, sometimes with an admixture of imbibed liquid; upon introduction of medications into the pleural cavity, the patient may taste and smell them when exhaling. X-ray examination is of prime value in the diagnosis of bronchial fistula. Treatment may consist of a combination of pleural punctures with bronchoscopy and pumping out the contents along with intrabronchial introduction of special medicinal substances; more often treatment is effected by surgery.

REFERENCE

Grigor’ev, M. S. “Bronkhial’nye svishchi.” In Mnogotomnoe rukovodstvo po khirurgii, vol. 5. Moscow-Leningrad, 1960. Chapter 29.
References in periodicals archive ?
reported successful use of arteriovenous ECMO in 5 patients via femorofemoral cannulation in the setting refractory respiratory failure associated with bronchial fistula and acute lung injury after thoracic operations and failure of conventional ventilation [8].
Intercostal tube drainage was prolonged in 4 patients because of bronchial fistula. In these patients, the fistula was closed spontaneously in a mean period of 2 weeks and no additional surgical intervention was needed.
Contrast studies should be performed if complications such as a bronchial fistula or stricture are suspected.
The patient was transferred to the intensive care unit at the Arizona Heart Hospital for management of the suspected aorta bronchial fistula. Plain chest films were negative, as was bedside transesophageal echocardiography (TEE).
Among the patients, five (31.25%) had thoracogastric-tracheal fistulas, nine (56.25%) had thoracogastric right main bronchial fistulas, and two (12.50%) had thoracogastric left main bronchial fistulas.
In 3 (21.43%) cases partial pericystectomy was performed after thoracoscopy, and cappitonage was performed according to Vishnevsky due to the absence of bronchial fistulas. In 2 (14.28%) cases the residual cavity was eliminated according to Vahidov method.