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KMID : 0364020100430030340
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Korean Journal of Thoracic and Cardiovascular Surgery
2010 Volume.43 No. 3 p.340 ~ p.343
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Management of Empyema Caused by a Gastropleural Fistula
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Lee Seong-Kwang
Lee Yang-Haeng
Jun Hee-Jae
Yoon Young-Chul
Hwang Youn-Ho
Park Kyung-Taek
Choi Chang-Soo
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Abstract
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Gastropleural fistula is a rare complication of prior lung surgery, gastric ulcer, trauma and malignancy. A 62 year old female patient who had received surgical repair of a perforated gastric wall 10 years prior, underwent open pleural decortication. At 4 days after surgery, food residuums were noticed at the chest bottles. Hence, an emergency esophagogram was done. The esophagogram revealed a gastropleural fistula. The patient received a total gastrectomy, intra-abdominal diaphragmatic repair and massive thoracic saline irrigation through a previous thoracic wound. The patient was discharged 11 days after surgery without other morbidity. (Korean J Thorac Cardiovasc Surg 2010;43:340-343)
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KEYWORD
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Empyema, Fistula, Ulcer
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