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
  • 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.

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.

Keyword

Empyema; Fistula; Ulcer

MeSH Terms

Emergencies
Empyema
Female
Fistula
Gastrectomy
Humans
Lung
Stomach Ulcer
Thorax
Ulcer
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