Abstract

VAZQUEZ-MINERO, Juan Carlos; ARMAS-ZARATE, Francisco Javier  and  DIAZ-ALVAREZ, Diego. Colo-pleural fistula secondary to colon adenocarcinoma. Rare complication. About a case. Neumol. cir. torax [online]. 2021, vol.80, n.3, pp.214-217.  Epub May 16, 2022. ISSN 0028-3746.  https://doi.org/10.35366/102483.

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.

Keywords : Colo-pleural fistula; colon cancer; empyema.

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