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Official Journal of the Italian Society of Thoracic Endoscopy
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Minerva Pneumologica 2000 June;39(2):91-4

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.


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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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