A Rare Complication of Noncompliance Status Post-Transhiatal Esophagectomy and Esophago-Gastroanastomosis.

Autor: Ramirez D; Department of Internal Medicine, Ascension Genesys Medical Center, Grand Blanc, MI, USA., Appelbe G; Department of Internal Medicine, Ascension Genesys Medical Center, Grand Blanc, MI, USA., Vattipally V; Department of Radiology, Ascension Genesys Medical Center, Grand Blanc, MI, USA., Miller J; Department of Gastroenterology, Ascension Genesys Medical Center, Grand Blanc, MI, USA.
Jazyk: angličtina
Zdroj: Case reports in gastrointestinal medicine [Case Rep Gastrointest Med] 2020 Nov 16; Vol. 2020, pp. 8833110. Date of Electronic Publication: 2020 Nov 16 (Print Publication: 2020).
DOI: 10.1155/2020/8833110
Abstrakt: Gastropleural fistulas are a complication of peptic ulcers in hiatal hernias, trauma, infections, surgical complications, and malignancy. Presenting symptoms may include gastric and chest pain with respiratory failure in the setting of pneumonitis, hydropneumothorax, or tension pneumothorax. We describe a 57-year-old male with a history of transhiatal esophagectomy and esophago-gastroanastomosis who presented in the setting of dyspnea and dark orogastric tube output. Upper endoscopy revealed multiple gastric ulcers with a dominant ulceration communicating with an adjacent space, and a fistulous tract was demonstrated on computed tomography chest, confirming a gastropleural fistula, a rare life-threatening condition.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2020 Daniel Ramirez et al.)
Databáze: MEDLINE
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