CASE REPORT   

Journal of Radiological Review 2020 November-December;7(6):500-5

DOI: 10.23736/S2723-9284.20.00075-3

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

Gastropleural fistula in puerpera

Roberta BASILE ¹ ✉, Fiorentino MONDILLO ¹, Michele IANNELLI ², Teresa CANTALUPO ¹, Martina MORRONE ¹, Gian L. GATTI ¹, Anna PISAPIA ³

¹ Unit of Radiology, Santa Maria della Speranza Hospital, Battipaglia, Salerno, Italy; ² Unit of Radiology, Maria SS Addolorata Hospital, Eboli, Salerno, Italy; ³ Unit of Surgery, Santa Maria della Speranza Hospital, Battipaglia, Salerno, Italy

Gastro-pleural fistula is an extremely rare and insidious complication of perforated peptic ulcer whose timely diagnosis is extremely important. We present the case of a puerpera that has come to our observation for a hypertensive hydro-pneumothorax caused by a gastro-pleural fistula, whose drainage of the gastric content in the pleural cavity has determined the formation of a voluminous empyema. The imaging methods and the microbiological analysis of the drained pleural fluid have proved to be of fundamental importance in suspecting diagnostics and identifying complications.

KEY WORDS: Fistula; Peptic ulcer; Hydropneumothorax