Korean J Thorac Cardiovasc Surg.
2010 Apr;43(2):224-227.
Broncho-Pleuro-Gastro-Colonic Fistula: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, Gyeongsang National University, Korea. isjang@gnu.ac.kr
Abstract
- A fistula between the respiratory and gastrointestinal systems is generally caused by infection and trauma. We experienced a 51-year old man with a broncho-pleuro-gastro-colonic fistula. He complained of chronic foul odor during respiration. He had suffered a traumatic diaphragmatic rupture 30 years ago. The infection of the diaphragm caused necrosis of the right lower lobe of the lung. It also caused a broncho-pleural fistula. The infection also created adhesion and a perforation of the gastric cardiac portion and the colonic splenic flexus portion of the gastro-intestinal track. We performed left lower lobectomy of the lung, reconstruction of the diaphragm and gastro-intestinal reanastomosis.