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Gupta A, Chaturvedi A, Fultz P, et al. Gastropleural Fistula with Aortic Intramural Involvement. J Clin Imaging Sci. 2017;7:7doi: 10.4103/jcis.JCIS_110_16.
Gupta, A., Chaturvedi, A., Fultz, P., & Hobbs, S. (2017). Gastropleural Fistula with Aortic Intramural Involvement. Journal of clinical imaging science, 77. https://doi.org/10.4103/jcis.JCIS_110_16
Gupta, Akshya, et al. "Gastropleural Fistula with Aortic Intramural Involvement." Journal of clinical imaging science vol. 7 (2017): 7. doi: https://doi.org/10.4103/jcis.JCIS_110_16
Gupta A, Chaturvedi A, Fultz P, Hobbs S. Gastropleural Fistula with Aortic Intramural Involvement. J Clin Imaging Sci. 2017 Feb 20;7:7. doi: 10.4103/jcis.JCIS_110_16. eCollection 2017. PMID: 28299235; PMCID: PMC5341304.
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J Clin Imaging Sci. 2017 Feb 20;7:7. doi: 10.4103/jcis.JCIS_110_16. eCollection 2017.

Gastropleural Fistula with Aortic Intramural Involvement.

Journal of clinical imaging science

Akshya Gupta, Abhishek Chaturvedi, Patrick Fultz, Susan Hobbs

Affiliations

  1. Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.

PMID: 28299235 PMCID: PMC5341304 DOI: 10.4103/jcis.JCIS_110_16

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

Conflict of interest statement

There are no conflicts of interest.

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