Korean J Thorac Cardiovasc Surg.  1999 Jan;32(1):49-52.

Gastro-Cavenous Fistula Developed after Esophagectomy ( Ivor Lewis Operation ) Due to Active Gastric Ulcer in Esophageal Cancer

• Kim SC
• Sim YM
• Kim KM
• Kim JG

Abstract

A 58-year-old male patient visited our hospital for epigastric discomfort and dysphagia which had developed 5 months earlier. He was diagnosed with esophageal cancer at the mid-thoracic level based on radiologic, endoscopic, and histologic examinations. An esophagectomy(Ivor Lewis technique) was done to treat the esophageal cancer. He was doing well until the 20th postoperative day when he began to complain of cough, sputum, fever and chills, Subsequently, thereafter, abdominal pain and generalized abdominal tenderness developed on the 22nd postoperative day. Upon gastrofiberscopy and esophagographic examinations, he was diagnosed with gastrobronchial fistula and an emergency operation was performed. On operative findings, the gastric fundus was perforated and directly connected to the abscessed cavity of the right upper lobe due to a gastric ulcer. We, herewith, report this case after review of the literature.

Keyword

Esophageal neoplasm; ulcer; Fistula

MeSH Terms

Abdominal Pain
Abscess
Chills
Cough
Deglutition Disorders
Emergencies
Esophageal Neoplasms*
Esophagectomy*
Fever
Fistula*
Gastric Fundus
Humans
Male
Middle Aged
Sputum
Stomach Ulcer*
Ulcer