Korean J Thorac Cardiovasc Surg.
2010 Jun;43(3):340-343. 10.5090/kjtcs.2010.43.3.340.
Management of Empyema Caused by a Gastropleural Fistula: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea. ctslee@inje.ac.kr
- 2Department of General Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea.
- KMID: 1455512
- DOI: http://doi.org/10.5090/kjtcs.2010.43.3.340
Abstract
- Gastropleural fistula is a rare complication of prior lung surgery, gastric ulcer, trauma and malignancy. A 62 year old female patient who had received surgical repair of a perforated gastric wall 10 years prior, underwent open pleural decortication. At 4 days after surgery, food residuums were noticed at the chest bottles. Hence, an emergency esophagogram was done. The esophagogram revealed a gastropleural fistula. The patient received a total gastrectomy, intra-abdominal diaphragmatic repair and massive thoracic saline irrigation through a previous thoracic wound. The patient was discharged 11 days after surgery without other morbidity.
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