Gastropleural Fistula: A Rare Complication of Ewing Sarcoma.
- Author:
Mehmet Abdussamet BOZKURT
1
;
Osman KONES
;
Irfan BASOGLU
;
Halil ALIS
Author Information
1. Department of General Surgery, Pervari State Hospital, Turkey. msametbozkurt@yahoo.com
- Publication Type:Case Report
- Keywords:
Fistula;
Gastrectomy
- MeSH:
Endoscopy;
Fistula;
Gastrectomy;
Humans;
Recurrence;
Sarcoma, Ewing;
Thoracotomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2013;46(4):293-294
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gastropleural fistula (GPF) is a rare condition that can occur as a consequence of prior pulmonary surgery, trauma, or malignancy. Conservative management usually fails, and gastrectomy and even thoracotomy is often required, especially in debilitated patients. We present a patient with GPF who had a history of Ewing's sarcoma. Diagnosis of GPF was confirmed by upper gastrointestinal system endoscopy and radiographic contrast examination, and the patient underwent a laparoscopic wedge resection of the fistula. To our knowledge, this is the first report of a GPF, in the formation of which recurrence of Ewing's sarcoma had played a role and in the treatment of which wedge resection of the fistula was performed. Laparoscopic treatment of GPF may be associated with less morbidity and should be considered as the initial procedure of choice.
