Medication-induced oesophageal injury leading to broncho-oesophageal fistula. (1/163)Medication-induced oesophageal injury is one of the least recognised side-effects of oral medication and, in contrast to other oesophageal pathologies, is rarely considered in the differential diagnosis of chest pain. We describe a case of medication-induced oesophageal injury with a rare complication in which the diagnosis was not considered until the characteristic features were demonstrated at endoscopy. (+info)
Congenital broncho-oesophageal fistula associated with bronchiectasis in adults. Report of two cases and review of the literature. (2/163)Congenital broncho-oesophageal fistula is a rare entity in adult patients. This anomaly may cause various symptoms such as respiratory infections, coughing bouts when eating or drinking and even haemoptysis. Even rarer than its occurrence with the above-mentioned symptoms is its presentation with bronchiectasis. A congenital broncho-oesophageal fistula presenting with bronchiectasis in a 28-year-old male and 36-year-old female are described. In reported cases, symptoms of chronic recurrent pulmonary suppuration were initially attributed to alternative aetiologies. In both cases, with such an unusual presentation, the observation of the fistulous tract was coincidental. Surgical division of the fistula associated with lobectomy resulted in complete resolution of symptoms. (+info)
Chronic cough due to bronchobiliary fistula. (3/163)Bronchobiliary fistula is a rare cause of chronic cough. Here we describe a 70-year-old woman complaining of chronic cough and copious dark-yellow watery sputum. The presence of air in the biliary tract in the lower cuts of a computerized tomography scan of the chest and positive bile in the sputum led to the suspicion of bronchobiliary fistula. The diagnosis was confirmed by percutaneous transhepatic cholangiography. Drainage of the intrahepatic biliary tract resulted in complete resolution of her symptoms. (+info)
Conservative management of a transdiaphragmatic fistula. (4/163)Case reports of transdiaphragmatic fistulas connecting subphrenic collections and empyemas are uncommon. We report the rare complication of a fistulous connection between a subphrenic collection and the bronchial tree. (+info)
Endobronchial tuberculosis with expectoration of tracheal cartilages. (5/163)A case of endotracheal tuberculosis with expectorations of the lateral one-third of the multiple tracheal cartilages is reported. Fibreoptic bronchoscopy revealed caseous materials and loosening of the tracheal cartilages. The patient expectorated cartilaginous material several times before and after fibreoptic bronchoscopy. In spite of the loss of tracheal cartilages, tracheal lumen was maintained with a mild airflow limitation. The remaining two-thirds of the tracheal cartilage rings seemed to be strong enough to support the tracheal lumen opening during the respiratory cycle. Although rare, expectoration of bronchial cartilage can be one of the clinical features of endobronchial tuberculosis. (+info)
Clinical experiences of stenting in patients with esophago-bronchial fistula: report of four cases. (6/163)The esophagorespiratory fistula is difficult to treat, and the patients' quality of life is generally poor due to suffering from dysphagia and dyspnea. We performed stent therapy in four cases of the esophagorespiratory fistula associated with esophageal cancer. Three of four patients showed improved symptoms, enabling oral liquid or food intake, although one died of dyspnea despite the therapy. The findings suggest that stent therapy is an effective method to close the esophagorespiratory fistula and to improve the patients' quality of life, although it is temporary and not a radical treatment. (+info)
The role of inflammation in bronchial stump healing. (7/163)The roles of inflammatory response and closure technique in the development of bronchopleural fistula were evaluated. Canine bronchial stumps closed with 3-0 silk and studied 14 days later were characterized by a dense inflammatory infiltrate. Stumps closed with 3-0 chromic catgut suture showed a moderate inflammatory response with disintegration of suture material. However, stumps closed with the automatic stapling device (TA-30) showed the best healing and a minimal degree of inflammation. These findings correlated well with leakage pressures. The average leakage pressure for the silk closed stumps was 139.44 mm Hg plus or minus 78.9 SD. This was significantly lower (P less than 0.02) than the average leakage pressure for staple closed stumps (251.25 mm Hg plus or minus 82.9 SD). It is concluded that the minimal amount of inflammation following staple closure will be associated with improved bronchial stump healing and a lower incidence of bronchopleural fistula. (+info)
Unresectable carcinoma of the oesophagus. (8/163)One hundred and eighty-one patients with unresectable carcinoma of the oesophagus have been seen and treated during the past 10 years. When the general condition of the patient was judged to be such that he was able to withstand a major operation a bypass procedure was adopted. No cases were rejected, but when the patient was in extremis oesophagostomy and gastrostomy only were performed. The results of treatment are presented and the difficulties encountered discussed. (+info)
In medical terminology, a bronchial fistula is an unusual connection between two organs or between an organ and the skin that allows air to escape from the respiratory tract and enter the skin. This can result in a persistent cough and other symptoms, such as chest pain, fever, and difficulty breathing.
Bronchial fistulas are relatively rare and can be caused by a variety of factors, including:
1. Trauma to the chest, such as from a car accident or fall.
2. Infections, such as tuberculosis or pneumonia, that can damage the lungs and cause an abnormal connection to form.
3. Cancer, such as lung cancer, that has spread to the skin and formed a fistula.
4. Congenital conditions, such as bronchial malformations that are present at birth.
Treatment for a bronchial fistula depends on the underlying cause and may include antibiotics for infections, surgery to repair or remove damaged tissue, or other interventions to manage symptoms. In some cases, a bronchial fistula may be treated with endobronchial therapy, in which a small tube is inserted through the mouth or nose and guided to the site of the fistula to close it off.
In summary, a bronchial fistula is an abnormal connection between two organs or between an organ and the skin that can cause air to leak into the skin and lead to chronic cough and other symptoms. Treatment depends on the underlying cause of the fistula and may involve antibiotics, surgery, or endobronchial therapy.
There are several types of fistulas, including:
1. Anal fistula: a connection between the anus and the skin around it, usually caused by an abscess or infection.
2. Rectovaginal fistula: a connection between the rectum and the vagina, often seen in women who have had radiation therapy for cancer.
3. Vesicovaginal fistula: a connection between the bladder and the vagina, often caused by obstetric injuries or surgery.
4. Enterocutaneous fistula: a connection between the intestine and the skin, often seen in patients with inflammatory bowel disease or cancer.
5. Fistula-in-ano: a connection between the rectum and the skin around the anus, often caused by chronic constipation or previous surgery.
Symptoms of fistulas can include pain, bleeding, discharge, and difficulty controlling bowel movements. Treatment depends on the type and location of the fistula, but may include antibiotics, surgery, or other interventional procedures.
The AVF is created by joining a radial or brachial artery to a vein in the forearm or upper arm. The vein is typically a radiocephalic vein, which is a vein that drains blood from the hand and forearm. The fistula is formed by sewing the artery and vein together with a specialized suture material.
Once the AVF is created, it needs time to mature before it can be used for hemodialysis. This process can take several weeks or months, depending on the size of the fistula and the individual patient's healing response. During this time, the patient may need to undergo regular monitoring and testing to ensure that the fistula is functioning properly.
The advantages of an AVF over other types of hemodialysis access include:
1. Improved blood flow: The high-flow path created by the AVF allows for more efficient removal of waste products from the blood.
2. Reduced risk of infection: The connection between the artery and vein is less likely to become infected than other types of hemodialysis access.
3. Longer duration: AVFs can last for several years, providing a reliable and consistent source of hemodialysis access.
4. Improved patient comfort: The fistula is typically located in the arm or forearm, which is less invasive and more comfortable for the patient than other types of hemodialysis access.
However, there are also potential risks and complications associated with AVFs, including:
1. Access failure: The fistula may not mature properly or may become blocked, requiring alternative access methods.
2. Infection: As with any surgical procedure, there is a risk of infection with AVF creation.
3. Steal syndrome: This is a rare complication that occurs when the flow of blood through the fistula interferes with the normal flow of blood through the arm.
4. Thrombosis: The fistula may become occluded due to clotting, which can be treated with thrombolysis or surgical intervention.
In summary, an arteriovenous fistula (AVF) is a type of hemodialysis access that is created by connecting an artery and a vein, providing a high-flow path for hemodialysis. AVFs offer several advantages over other types of hemodialysis access, including improved blood flow, reduced risk of infection, longer duration, and improved patient comfort. However, there are also potential risks and complications associated with AVFs, including access failure, infection, steal syndrome, and thrombosis. Regular monitoring and testing are necessary to ensure that the fistula is functioning properly and to minimize the risk of these complications.
The term "intestinal fistula" encompasses several different types of fistulas that can occur in the gastrointestinal tract, including:
1. Enterocutaneous fistula: This type of fistula occurs between the intestine and the skin, typically on the abdominal wall.
2. Enteroenteric fistula: This type of fistula occurs between two segments of the intestine.
3. Enterofistulous intestinal tract: This type of fistula occurs when a segment of the intestine is replaced by a fistula.
4. Fecal fistula: This type of fistula occurs between the rectum and the skin, typically on the perineum.
The causes of intestinal fistulas are varied and can include:
1. Inflammatory bowel disease (IBD): Both Crohn's disease and ulcerative colitis can lead to the development of intestinal fistulas.
2. Diverticulitis: This condition can cause a fistula to form between the diverticula and the surrounding tissues.
3. Infection: Bacterial or parasitic infections can cause the formation of fistulas in the intestine.
4. Radiation therapy: This can damage the intestinal tissue and lead to the formation of a fistula.
5. Trauma: Blunt or penetrating trauma to the abdomen can cause a fistula to form between the intestine and surrounding tissues.
6. Cancer: Malignancies in the intestine or surrounding tissues can erode through the bowel wall and form a fistula.
7. Rare genetic conditions: Certain inherited conditions, such as familial polyposis syndrome, can increase the risk of developing intestinal fistulas.
8. Other medical conditions: Certain medical conditions, such as tuberculosis or syphilis, can also cause intestinal fistulas.
The symptoms of intestinal fistulas can vary depending on the location and severity of the fistula. Common symptoms include:
1. Abdominal pain
3. Rectal bleeding
4. Infection (fever, chills, etc.)
5. Weakness and fatigue
6. Abdominal distension
7. Loss of appetite
8. Nausea and vomiting
The diagnosis of an intestinal fistula is typically made through a combination of physical examination, medical history, and diagnostic tests such as:
1. Imaging studies (X-rays, CT scans, MRI scans) to visualize the fistula and surrounding tissues.
2. Endoscopy to examine the inside of the intestine and identify any damage or abnormalities.
3. Biopsy to obtain a tissue sample for further examination.
4. Blood tests to check for signs of infection or inflammation.
Treatment of an intestinal fistula depends on the underlying cause and the severity of the condition. Treatment options may include:
1. Antibiotics to treat any underlying infections.
2. Surgery to repair the fistula and remove any damaged tissue.
3. Nutritional support to help the body heal and recover.
4. Management of any underlying medical conditions, such as diabetes or Crohn's disease.
5. Supportive care to manage symptoms such as pain, nausea, and vomiting.
The prognosis for intestinal fistulas varies depending on the underlying cause and the severity of the condition. In general, with prompt and appropriate treatment, many people with intestinal fistulas can experience a good outcome and recover fully. However, in some cases, complications such as infection or bleeding may occur, and the condition may be challenging to treat.
Terms commonly used when discussing cutaneous fistula include:
* Cutaneous: refers to the skin
* Fistula: a tunnel-like structure that connects two organs or tissues
* Drainage: the removal of fluid or pus from the body
Example sentences using the word "cutaneous fistula":
1. The patient developed a cutaneous fistula on their abdomen after undergoing surgery for an abscess.
2. The cutaneous fistula was causing discomfort and infection, so the doctor recommended draining it to prevent further complications.
3. The cause of the cutaneous fistula was determined to be a cyst that had ruptured and formed a tunnel-like structure to the skin.
Example sentence: "The patient underwent surgery to create a vascular fistula in her arm to improve the flow of blood to her kidneys."
Please note that this definition is a summary and may not be comprehensive or up-to-date. For accurate and current information, I recommend consulting a medical professional or a reputable online source.
Also known as: Gastric-enteric fistula, gastrointestinal fistula, stomach fistula.
1. The patient was diagnosed with a gastric fistula and underwent surgery to repair the abnormal connection.
2. The symptoms of gastric fistula can be severe and debilitating, making it important to seek medical attention if they persist or worsen over time.
3. Gastric fistula is a rare complication of gastric surgery, but it can be managed with prompt and appropriate treatment.
The symptoms of urinary fistula can vary depending on the location and severity of the condition, but may include:
* Incontinence or leakage of urine
* Pain or discomfort in the abdomen or pelvis
* Frequent urination or difficulty starting a stream of urine
* Blood in the urine
* Cloudy or strong-smelling urine
* Recurring urinary tract infections
Treatment for urinary fistula typically involves surgery to repair the abnormal connection and restore normal urinary function. In some cases, this may involve creating a new opening for urine to pass through or repairing damaged tissue.
Preventive measures for urinary fistula are not well established, but good hygiene practices and proper care after surgery can help reduce the risk of developing the condition. Early detection and treatment are important to prevent complications and improve outcomes.
Symptoms of an esophageal fistula may include difficulty swallowing, regurgitation of food, coughing, and chest pain. Diagnosis is typically made through endoscopy, imaging studies such as CT scans or MRIs, and other tests such as barium swallows or pH monitoring.
Treatment options for esophageal fistula depend on the location and severity of the fistula, as well as the underlying cause. Conservative management with antibiotics and acid suppression may be sufficient for some cases, while more complex interventions such as surgery or endoscopic therapy may be required for others. In severe cases, esophageal fistula may require emergency surgical repair to prevent life-threatening complications such as aspiration pneumonia or sepsis.
The most common types of biliary fistulas are:
1. Bile duct-enteric fistula: This type of fistula connects the bile ducts to the small intestine.
2. Bile duct-skin fistula: This type of fistula connects the bile ducts to the skin, which can lead to a bile leak and infection.
3. Bile duct-liver fistula: This type of fistula connects the bile ducts to the liver, which can cause bleeding and infection.
Symptoms of biliary fistula may include:
* Jaundice (yellowing of the skin and whites of the eyes)
* Pale or clay-colored stools
* Dark urine
* Loss of appetite
* Weight loss
Diagnosis of biliary fistula is typically made through a combination of imaging tests such as endoscopy, CT scan, and MRI. Treatment options for biliary fistula include:
1. Endoscopic therapy: This may involve the use of an endoscope to repair or close off the fistula.
2. Surgery: In some cases, surgery may be necessary to repair or remove the damaged bile ducts.
3. Stent placement: A stent may be placed in the bile ducts to help keep them open and allow for proper drainage.
It is important to seek medical attention if you experience any symptoms of biliary fistula, as it can lead to serious complications such as infection or bleeding.
The severity and impact of pancreatic fistula can vary depending on factors such as the size and location of the fistula, the extent of the pancreatectomy, and the overall health status of the individual. Treatment options for pancreatic fistula may include conservative management with supportive care, surgical repair or revision of the pancreatectomy, or other interventional procedures to manage symptoms and prevent complications.
Symptoms of a rectovaginal fistula may include:
* Incontinence of stool or gas into the vagina
* Pain in the rectal or vaginal area
* Discharge of stool or gas from the vagina
* Perineal pain during sexual activity
* Difficulty with bowel movements
Diagnosis is typically made through a physical examination, and may also include imaging tests such as an MRI or CT scan.
Treatment for a rectovaginal fistula usually involves surgery to repair the defect. The type of surgery used will depend on the location and size of the fistula, as well as the patient's overall health. In some cases, multiple procedures may be necessary to achieve complete resolution of symptoms.
In addition to surgical treatment, other therapies such as bowel training, stool softeners, and antibiotics may be used to manage symptoms and prevent complications. Patients with rectovaginal fistulas should work closely with their healthcare provider to develop a personalized treatment plan that addresses their individual needs and goals.
Respiratory gas humidification
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Classification of pneumonia
Science and technology in Venezuela
MeSH | Bronchial Fistula (D001983)
Coronary bronchial fistula - A rare incidental finding. | Asian Cardiovasc Thorac Ann;31(6): 521-523, 2023 Jul. | MEDLINE
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- 6. [Unusual mediastinal complication of Hodgkin's disease: esophago-bronchial and aorto-bronchial fistula]. (nih.gov)
- In addition, other pathologies than aneurysms have been treated by endovascular means, including dissection, traumatic injuries, penetrating aortic ulcer, intramural hematoma and aorto bronchial fistula. (maastrichtuniversity.nl)
- A flexible bronchoscopy demonstrated an intact left upper lobe bronchial stump. (figshare.com)
- Ammanpachaiarisi) Euphorbiaceae Plant decoction is taken in bronchial affection & asthma. (aksdf.org)
- Other causes for this type of fistula are rare, but regardless of the aetiology, the treatment is rather the same, aimed at closing the tracheoesophageal connection and restoring the separate permeability of the airways and digestive tube so as to avoid pulmonary contamination and aspiration pneumonia ( 2 ). (spandidos-publications.com)
- 5. [Esophago-bronchial fistula caused by chemotherapy with bronchial artery infusion for pulmonary metastases from urinary tract cancer]. (nih.gov)
- A sterile non-bioabsorbable tubular device intended to be implanted into the trachea and/or a bronchus/bronchiole to maintain luminal patency, typically used in cases of obstructions/stenoses, fistulae, tumours, scarring, surgical resection and anastomosis, or pulmonary transplantation. (stening.es)
- The so-called perfusion and ventilation mismatch was present7,8 in all but the patient with pulmonary A-V fistulas. (jsnm.org)
- Pulmonary angiography was done in the remaining 3 cases with unilateral pulmonary artery hypoplasia, pulmonary A-V fistulas, and aortitis syndrome, respectively. (jsnm.org)
- The fistula was the result of intra‑tracheal migration of an oesophageal stent placed for post lye ingestion stenosis. (spandidos-publications.com)
- 16. [On esophago-tracheal and esophago-bronchial fistulas in malignant tumors of the esophagus and respiratory tract]. (nih.gov)
- The procedure is the same that the described for tracheal or bronchial stents . (stening.es)
- 11. [Esophago-bronchial fistula caused by caustic stenosis of the esophagus]. (nih.gov)
- However, persistent air leakage through the chest tube was observed due to the presence of a bronchopleural fistula (BPF). (whocc.org.cn)
- Eight cases of superior mesenteric arteriovenous fistula (SMAVF) occurring after an abdominal stab wound have been reported. (omeka.net)
- The bronchial stump was covered by pleural flap in three patients. (biomedcentral.com)
- Anatomic gastrointestinal abnormalities such as enteric fistulas or intestinal perforation can sequester sufficient quantities of ingested elemental mercury to allow significant oxidation and subsequent absorption. (cdc.gov)
- Depending on the time the device had been inside the airway, the stent border can be confused with the bronchial wall. (stening.es)
- A Case Report of a Patient with Bronchial Carcinoid Tumour and. (annals.edu.sg)
- This case report presents the case of a female patient, 31 years old, admitted to the emergency room with sepsis syndrome following bilateral aspiration pneumonia caused by a large trachea‑oesophageal fistula. (spandidos-publications.com)
- 13. Esophago-bronchial fistula in a patient with rheumatoid arthritis. (nih.gov)
- 10. [Autopsy case of esophago-bronchial fistula caused by primary lung cancer]. (nih.gov)
- 1. [Left esophago-bronchial fistula following bronchial artery embolization]. (nih.gov)
- 4. [Radical surgery of esophageal carcinoma with esophago-left main bronchial fistula]. (nih.gov)
- After removal of the chest tube, he developed a bronchocutaneous fistula and subsequent pneumothorax necessitans of the left anterior chest wall. (figshare.com)
- Acquired benign trachea‑oesophageal fistula is a rare benign pathological entity with varying aetiologies that most often occurs post‑intubation. (spandidos-publications.com)
- Acquired benign trachea-oesophageal fistula is a rare pathological entity that concerns the occurrence of an abnormal connection between the oesophagus and the trachea that does not involve the presence of local neoplastic pathology ( 1 ). (spandidos-publications.com)
- 12. [Non-tumoral and acquired esophago-tracheo-bronchial fistulas in adults: 7 cases]. (nih.gov)
- 14. [The long-term effect of double embolization of bronchial artery on patients with hemoptysis]. (nih.gov)
- This fistula is common in patients that were mechanically ventilated for longer periods of time during which, most often, the hyperinflated cuff of the endotracheal or tracheostomy tube is in contact with a nasogastric tube placed in the oesophagus ( 1 ). (spandidos-publications.com)
- 8. [A case of esophageal cancer with esophago-bronchial fistula and metastases to the brain]. (nih.gov)
- 40. Early simultaneous esophagopleural and bronchopleural fistula after right pneumonectomy. (nih.gov)
- Additionally, lung isolation allows for management of certain pathological conditions of the lung including unilateral lung hemorrhage, infection, trauma, bullous disease, or bronchopleural fistula. (medscape.com)
- 38. [Esophago-respiratory fistulas secondary to carcinoma of the esophagus. (nih.gov)
- Anatomic gastrointestinal abnormalities such as enteric fistulas or intestinal perforation can sequester sufficient quantities of ingested elemental mercury to allow significant oxidation and subsequent absorption. (cdc.gov)
- 37. Over-the-Scope Clip Closure of an Esophageal-Pleural Fistula Secondary to Esophageal Stent Placement: A Case Report. (nih.gov)
- 23. Successful closure of refractory esophago-pulmonary fistula after esophagectomy using a vascular embolization plug under endoscopy: A case report. (nih.gov)
- 24. Successful Surgical Closure of an Esophagobronchial Fistula Caused by a Foreign Body in the Esophagus of a Female Octogenarian with a Delayed Diagnosis: A Case Report. (nih.gov)
- 25. Endoscopic mucosal ablation and over-the-scope clipping for fistula closure. (nih.gov)
- 30. Successful Closure of a Tracheoesophageal Fistula Using an Over-The-Scope Clip. (nih.gov)
- 31. Immediate technical and delayed clinical outcome of fistula closure using an over-the-scope clip device. (nih.gov)
- 36. Short-term outcomes of a novel endoscopic clipping device for closure of the internal opening in 100 anorectal fistulas. (nih.gov)
- 35. [A case of congenital esophago-bronchial fistula communicated between esophageal diverticulum and left main bronchus in the adult--a review of 47 cases in the Japanese literature]. (nih.gov)
- A DLT is designated as either left or right, depending on which bronchus the bronchial lumen is designed to terminate in. (medscape.com)
- Compared to other methods of lung separation (bronchial blocker, and single-lumen endobronchial tube placement) a DLT is advantageous because both lungs can be accessed for ventilation, fiberoptic visualisation, suctioning, or application of CPAP. (medscape.com)
- leaflet) "Big Head * * * a cure * * * For fistula and poll evil which are the same disease in character, * * * where the fistula is discharging * * * Fistula and Poll-evil are rather deep seated but the Big Head- Lini- ment is very penetrating and brings the disease to the surface. (nih.gov)
- It was alleged in the libel that the article was misbranded in that the fol- lowing statements regarding its curative and therapeutic effects were false and fraudulent: (Carton, large) "Big Head * * * A Remedy For Big Head * * * Fistula, Poll Evil * * * Splint * * * Spavin, Ring Hoof * * * is good for human ailments. (nih.gov)
- No remedy I have ever used gives such good results for fistula and pollevil. (nih.gov)
- The fistulae were managed conservatively and prognosis was good despite late presentation. (bvsalud.org)
- 39. Three-step operation for esophago-left bronchial fistula with respiratory failure after esophagectomy: a case report with literature review. (nih.gov)