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Antes Revista del Instituto Nacional de Enfermedades Respiratorias

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2021, Number 3

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Neumol Cir Torax 2021; 80 (3)

Colo-pleural fistula secondary to colon adenocarcinoma. Rare complication. About a case

Vázquez-Minero JC, Armas-Zárate FJ, Díaz-Álvarez D
Full text How to cite this article 10.35366/102483

DOI

DOI: 10.35366/102483
URL: https://dx.doi.org/10.35366/102483

Language: Spanish
References: 11
Page: 214-217
PDF size: 860.64 Kb.


Key words:

Colo-pleural fistula, colon cancer, empyema.

ABSTRACT

Colorectal cancer is one of the most frequent in Mexico and the world, with a high mortality despite therapeutic advances. Extracolonic manifestations of the disease are rare. This is the case of a 52-year-old patient with no significant history and without a specific clinical picture of digestive tract pathology. That it presented as an empyema secondary to a colo-pleural fistula, with a long evolution. She underwent a chest surgical procedure with no evidence of a fistula at that time. He was admitted to the Institute with empyema and residual cavity, washing and decortication were performed, in the postoperative period the colo-pleural fistula was evidenced, which was dismantled together with the resection of a tumor of the splenic flexure of the colon, which was a moderate adenocarcinoma differentiated ulcerated and perforated. Presents after the procedure, sepsis without improvement. Colon cancer complications like this have a very high mortality despite treatment and in many cases the initial suspicion of the problem is not had.


REFERENCES

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Neumol Cir Torax. 2021;80