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

Autor:	Daniel Ramirez, Graham Appelbe, Venkatramana Vattipally, Justin Miller
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	Diseases of the digestive system. Gastroenterology RC799-869
Zdroj:	Case Reports in Gastrointestinal Medicine, Vol 2020 (2020)
Druh dokumentu:	article
ISSN:	2090-6528 2090-6536
DOI:	10.1155/2020/8833110
Popis:	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.
Databáze:	Directory of Open Access Journals
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