Imaging of uncommon thoracic and abdominal fistulas: a review

Fistulas represent abnormal communications between two epithelialized surfaces, which can involve organs, vessels, or the skin. While common fistulas are frequently encountered, uncommon fistulas in the thoracic and abdominal cavities pose significant diagnostic challenges due to their varied etiologies and presentations. Imaging plays a pivotal role in the detection, characterization, and management planning of these complex entities. This pictorial review will explore the spectrum of uncommon thoracic and abdominal fistulas, emphasizing the crucial contributions of various imaging modalities. We will discuss etiological factors, characteristic imaging findings, and specific techniques that aid in accurate diagnosis, including illustrative cases. Keywords: Fistula, Digestive System Fistula, Respiratory Tract Fistula, Vascular Fistula, Diagnostic Imaging, Magnetic Resonance Imaging, Radiography, Thoracic Diseas.

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Publication Details

Journal
Abdominal Radiology
Published
2026-06-27
DOI
https://doi.org/10.1007/s00261-026-05599-7
Primary Topic
Pneumothorax, Barotrauma, Emphysema
Type
article
Field-Weighted Citation Impact
0.00

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article

Imaging of uncommon thoracic and abdominal fistulas: a review

Lindsay Duy, Janardhana Ponnatapura, Wencheng Li, Eswara Sellamuthu et al.
Abdominal Radiology
Pneumothorax, Barotrauma, Emphysema
article

Imaging of uncommon thoracic and abdominal fistulas: a review

Lindsay Duy, Janardhana Ponnatapura, Wencheng Li, Eswara Sellamuthu, Ankush Ankush, Praveen Polamraju, Adam Petraglia
article en

Abstract

Fistulas represent abnormal communications between two epithelialized surfaces, which can involve organs, vessels, or the skin. While common fistulas are frequently encountered, uncommon fistulas in the thoracic and abdominal cavities pose significant diagnostic challenges due to their varied etiologies and presentations. Imaging plays a pivotal role in the detection, characterization, and management planning of these complex entities. This pictorial review will explore the spectrum of uncommon thoracic and abdominal fistulas, emphasizing the crucial contributions of various imaging modalities. We will discuss etiological factors, characteristic imaging findings, and specific techniques that aid in accurate diagnosis, including illustrative cases. Keywords: Fistula, Digestive System Fistula, Respiratory Tract Fistula, Vascular Fistula, Diagnostic Imaging, Magnetic Resonance Imaging, Radiography, Thoracic Diseas.

Abdominal Radiology
Atrium Health Wake Forest Baptist (US), The University of Texas Southwestern Medical Center (US)
Wake Forest University
Openalex Percentile: Top 8%
Pneumothorax, Barotrauma, Emphysema
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