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The Journal of Cardiovascular Surgery 2000 February;41(1):147-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Gastropleural fistula as complication of postpneumonectomy empyema

Mussi A., Lucchi M., Davini F., Angeletti C. A.

From the Division of Thoracic Surgery Department of Cardiothoracic Surgery University of Pisa, Pisa, Italy


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A 54-year-old ­woman under­went a ­left pneu­mo­nec­tomy for mono­lat­eral con­gen­ital pul­mo­nary ­cysts, com­pli­cated by a ­pleural ­empyema ­without bron­chial fis­tula, in the ­late post­op­er­a­tive ­period. The ­pleural ­empyema was evac­u­ated and man­aged by ­means of a ­small tho­racic ­drainage. ­Three ­months ­after dis­charge the ­patient ­noticed the pres­ence of ­ingesta in the ­pleural ­washing ­fluid. Diag­nostic and oper­a­tive pro­ce­dures in ­this ­rare ­case of non malig­nant, non trau­matic gas­tro­pleural fis­tula are ­described.

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