Korean J Thorac Cardiovasc Surg.  2013 Aug;46(4):293-294.

Gastropleural Fistula: A Rare Complication of Ewing Sarcoma

Affiliations
  • 1Department of General Surgery, Pervari State Hospital, Turkey. msametbozkurt@yahoo.com
  • 2Department of General Surgery, Dr. Sadi Konuk Training and Research Hospital, Turkey.

Abstract

Gastropleural fistula (GPF) is a rare condition that can occur as a consequence of prior pulmonary surgery, trauma, or malignancy. Conservative management usually fails, and gastrectomy and even thoracotomy is often required, especially in debilitated patients. We present a patient with GPF who had a history of Ewing's sarcoma. Diagnosis of GPF was confirmed by upper gastrointestinal system endoscopy and radiographic contrast examination, and the patient underwent a laparoscopic wedge resection of the fistula. To our knowledge, this is the first report of a GPF, in the formation of which recurrence of Ewing's sarcoma had played a role and in the treatment of which wedge resection of the fistula was performed. Laparoscopic treatment of GPF may be associated with less morbidity and should be considered as the initial procedure of choice.

Keyword

Fistula; Gastrectomy

MeSH Terms

Endoscopy
Fistula
Gastrectomy
Humans
Recurrence
Sarcoma, Ewing
Thoracotomy
Full Text Links
  • KJTCS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr