Left-sided lung abscess, complicated with bronchoperitoneal fistula: case report
DOI:
https://doi.org/10.2478/AMB-2026-0015Keywords:
bronchial fistula, bronchoperitoneal fistula, lung abscess, necrotizing pneumonia, pleural empyemaAbstract
Abstract. Bronchogenic lung abscess complicated by the development of a bronchoperitoneal fistula is an extremely rare and potentially life-threatening condition. It may be associated with severe sepsis, air leakage, and often requires urgent surgical treatment supported by an interdisciplinary team and intensive care management. We present a case of an 18-year-old male patient who was transferred to our institution with a left lower lobe lung abscess, developed secondary to massive bilateral pneumonia, and complicated by bronchoperitoneal fistula formation, diffuse fibrinopurulent peritonitis, and pneumoperitoneum. Complex surgical treatment was performed, followed by intensive postoperative care. The patient was successfully discharged on the 23rd postoperative day.
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Journal Acta Medica Bulgarica 
