Gastro Pleural Fistula: A Rare Entity Presenting as a Complication of Empyema Thoracis Following Stab Injury to the Chest
Correspondence Address :
Dr. Prashanth Basappa Chowdary,
319 'B' Block, Suraksha Golden Palms, No. 36/2,Nyanappanahalli, Saraswathipuram,
Near Arekere Sai Baba temple, Off Bannerghatta Road, Bangalore - 560076, Karnataka, India.
E-mail : prashanth.chowdary@outlook.com
Gastro pleural fistula is an infrequently seen lesion. Here, a case of stab injury to the chest that led to the formation of a gastro pleural fistula has been presented. An intercostal drainage (ICD) tube was inserted after haemothorax was identified on this chest X-ray. The patient noticed the presence of ingested food particles at the site of ICD tube twelve days following the stab injury. The diagnosis of gastro pleural fistula was subsequently confirmed after a contrast enhanced computed tomography (CECT) of the chest and abdomen. Intraoperatively, a defect in the left hemi diaphragm with a fistulous tract between stomach and the left pleural cavity was identified. Closure of the gastric fundal perforation, excision of the fistulous tract and repair of the diaphragmatic defect was done.
Gastric fundal perforation, Hemidiaphragm, Intercostal drainage, Pleural cavity
DOI: 10.7860/JCDR/2015/12257.5764
Date of Submission: Nov 26, 2014
Date of Peer Review: Feb 08, 2015
Date of Acceptance: Feb 28, 2015
Date of Publishing: Apr 01, 2015
Financial OR OTHER COMPETING INTERESTS: None.
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase
- EBSCOhost
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)
- www.omnimedicalsearch.com