Imaging of acquired transdiaphragmatic fistulae and communications

Chaturvedi, Abhishek; Rajiah, Prabhakar; Chaturvedi, Apeksha

doi:10.1016/j.clinimag.2018.09.020

Cited by 5 publications

(16 citation statements)

References 57 publications

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“…Imaging and-in selected cases-pleural fluid analysis give clues for thoracic extension of abdominal fluid, cells, or pathogens (3). Accurate classification of pathologic conditions as peri-or transdiaphragmatic may be challenging at axial imaging (4).…”

Section: Diaphragmatic Disruption or Erosionmentioning

confidence: 99%

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Routes of Transdiaphragmatic Migration from the Abdomen to the Chest

et al. 2020

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The diaphragm serves as an anatomic border between the abdominal and thoracic cavities. Pathologic conditions traversing the diaphragm are often incompletely described and may be overlooked, resulting in diagnostic delays. Several routes allow abdominal contents or pathologic processes to spread into the thorax, including along normal transphrenic structures, through congenital defects in the diaphragm, through inherent areas of weakness between muscle groups, or by pathways created by tissue destruction, trauma, or iatrogenic injuries. A thorough knowledge of the anatomy of the diaphragm can inform an accurate differential diagnosis. Often, intraperitoneal pathologic conditions crossing the diaphragm may be overlooked if axial imaging is the only approach to this complex region because of the horizontal orientation of much of the diaphragm. Multiplanar capabilities of volumetric CT and MRI provide insight into the pathways where pathologic conditions may traverse this border. Knowledge of these characteristic routes and use of multiplanar imaging are critical for depiction of specific transdiaphragmatic pathologic conditions. © RSNA, 2020 • radiographics.rsna.org

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Section: Diaphragmatic Disruption or Erosionmentioning

confidence: 99%

“…Other thoracic complications of pancreatic duct rupture include pancreaticopleural, pancreaticopericardial, or pancreaticobronchial fistulas (3,19,20). CT can show a mediastinal collection contiguous with an abdominal pseudocyst.…”

Section: Transhiatal Pathologic Conditionsmentioning

confidence: 99%

Routes of Transdiaphragmatic Migration from the Abdomen to the Chest

et al. 2020

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“…The diaphragm serves as an effective physical barrier between the thoracic and abdominal cavities. 13 Transdiaphragmatic fistulas may develop if this barrier is breached, such as from trauma, infection, neoplasm, or surgical intervention (Figs. 5-8).…”

Section: Transdiaphragmatic Fistulasmentioning

confidence: 99%

“…5-8). 13,14 Transdiaphragmatic fistulas are rare, with <100 reported cases in the literature. 13 Among the more common are gastrothoracic, pancreaticothoracic, and colothoracic fistulas.…”

Section: Transdiaphragmatic Fistulasmentioning

confidence: 99%

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Acquired Thoracic Fistulas

Layyous

Yen

Chaturvedi

et al. 2020

Journal of Thoracic Imaging

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Fistulas are abnormal connections between 2 epitheliallined structures. Thoracic fistulas may result from nonanatomic communications between spaces within the thorax, such as the lung, tracheobronchial tree, pleural space, and mediastinal structures, or between thoracic spaces and extrathoracic structures, such as the gastrointestinal tract. Furthermore, thoracic fistulas may result in communication between thoracic spaces and the spine or vascular structures. Potential causes include trauma, infection, neoplasm, surgical intervention, or medical syndromes. In this article, we discuss various acquired thoracic fistulas and their potential causes, key multimodality imaging manifestations, and clinical significance.

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An Unusual Cause of Productive Cough With Yellow Sputum

Kitagawa

Okamura

2020

The American Journal of Medicine

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Imaging of acquired transdiaphragmatic fistulae and communications

Cited by 5 publications

References 57 publications

Routes of Transdiaphragmatic Migration from the Abdomen to the Chest

Routes of Transdiaphragmatic Migration from the Abdomen to the Chest

Acquired Thoracic Fistulas

An Unusual Cause of Productive Cough With Yellow Sputum

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