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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1999 October;40(5):761-3

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Eso­phag­o­pleural fis­tula orig­i­nating from diver­tic­ulum ­after pneu­mo­nec­tomy. A ­case ­report and ­review of the lit­er­a­ture

Inoue M., Nakanishi R., Osaki T., Yoshimatsu T., Yasumoto K.

From the Depart­ment of Sur­gery II Uni­ver­sity of Occu­pa­tional and Envi­ron­mental ­Health Kitak­yusyu, ­Japan


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Eso­phag­o­pleural fis­tula (EPF) is a ­very ­rare and ­fatal dis­ease. A 56 ­year-old man devel­oped a pyo­thorax ­resulting ­from an EPF ­with esoph­a­geal diver­tic­ulum ­after a ­right pneu­mo­nec­tomy. The ­patient was suc­cess­fully ­treated ­with a ­three-­stage oper­a­tion and con­trol of infec­tion and nutri­tional ­status. ­First, fen­es­tra­tion was per­formed, ­then an ­ante-tho­racic gas­tro­plasty, and a rad­ical tho­rac­o­plasty was per­formed. Sur­gical man­age­ment, nutri­tional sup­port, and con­trol of infec­tion ­were the cor­ner­stones of the treat­ment of EPF.

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