II. Pathophysiology

  1. Communication between Bronchus and pleural cavity

III. Causes

  1. Empyema draining through Bronchus
  2. Lung Abscess invading pleural cavity

IV. Symptoms

  1. Chronic productive cough
  2. Large volume Purulent Sputum

V. Signs

  1. Absent breath sounds on affected side
  2. Tympanic changes on affected side
    1. Dullness to percussion at lung base (Hydrothorax)
    2. Hyperresonant above dull area (Pneumothorax)
  3. Coin Test
  4. Succussion Splash

VI. Diagnosis

  1. Methylene blue injected into pleural cavity
    1. Appears in Sputum

VII. Radiology: Chest XRay

  1. Hydropneumothorax

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Related Studies

Ontology: Bronchopleural fistula (C0238132)

Definition (NCI_CTCAE) A disorder characterized by an abnormal communication between a bronchus and the pleural cavity.
Definition (NCI) An abnormal communication between a bronchus and the pleural cavity.
Concepts Disease or Syndrome (T047)
ICD10 J86.0
SnomedCT 233793003
Italian Fistola broncopleurica
Japanese 気管支胸膜瘻, キカンシキョウマクロウ
Czech Bronchopleurální píštěl
English Bronchopleural Fistula, bronchopleural fistula, Bronchopleural fistula, Bronchopleural fistula (disorder), bronchopleural; fistula, fistula; bronchopleural, Fistula, bronchopleural
Hungarian Bronchopleuralis sipoly
Dutch bronchopleuraal; fistel, fistel; bronchopleuraal, broncho-pleurale fistel
Spanish fístula broncopleural (trastorno), fístula broncopleural, Fistula broncopleural
Portuguese Fístula broncopleural
French Fistule broncho-pleurale
German Bronchpleuralfistel