Images in Cardiothoracic Medicine and Surgery
Postoperative gastropleural fistula with traumatic colonic injury
Asian Cardiovascular & Thoracic Annals 2015, Vol. 23(9) 1136 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314534847 aan.sagepub.com
Sameh I Sersar1,2 and Abdulnassir A Batouk1,2
Figure 1. (A, B, C) Barium swallow demonstrating the leaking gastropleural fistula. Yellow arrow: gastropleural fistula; Red arrow: stent in the stomach tube; Red line: pigtail catheter in the left pleura; Blue arrow: start of the leak from the transverse colon due to trauma by the blindly inserted abdominal drain in the same track after slippage; Black line: escape of the oral contrast into the descending colon; Wide white arrow: rectal tube in a subphrenic collection penetrating the distal transverse colon; Black arrow: descending colon containing contrast.
A 52-year-old man underwent a partial esophagogastrectomy for gastroesophageal junction cancer. He experienced a leak 3 weeks postoperatively. Strict nil per os and total parenteral nutrition were followed. Four weeks later, he developed a left subphrenic collection. A covered stent was inserted into the gastric tube over the leak, and the subphrenic collection was drained. Two months later, barium swallow showed a leaking gastropleural fistula after partial esophagogastrectomy for cancer of the gastroesophageal junction, with controlled traumatic colonic injury (Figure 1).
Funding This research received no specific grant from any funding agency in the public, commerical, or not-for-profit sectors.
Conflict of interest statement None declared.
1 2
King Abdullah Medical City, Makkah, Saudi Arabia Mansoura University, Mansoura, Egypt
Corresponding author: Sameh Ibrahim Sersar, Mansoura University 35516, Mansoura, Egypt. Email: [email protected]
Downloaded from aan.sagepub.com at UNIV OF LETHBRIDGE on November 14, 2015
Postoperative gastropleural fistula with traumatic colonic injury
Asian Cardiovascular & Thoracic Annals 2015, Vol. 23(9) 1136 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314534847 aan.sagepub.com
Sameh I Sersar1,2 and Abdulnassir A Batouk1,2
Figure 1. (A, B, C) Barium swallow demonstrating the leaking gastropleural fistula. Yellow arrow: gastropleural fistula; Red arrow: stent in the stomach tube; Red line: pigtail catheter in the left pleura; Blue arrow: start of the leak from the transverse colon due to trauma by the blindly inserted abdominal drain in the same track after slippage; Black line: escape of the oral contrast into the descending colon; Wide white arrow: rectal tube in a subphrenic collection penetrating the distal transverse colon; Black arrow: descending colon containing contrast.
A 52-year-old man underwent a partial esophagogastrectomy for gastroesophageal junction cancer. He experienced a leak 3 weeks postoperatively. Strict nil per os and total parenteral nutrition were followed. Four weeks later, he developed a left subphrenic collection. A covered stent was inserted into the gastric tube over the leak, and the subphrenic collection was drained. Two months later, barium swallow showed a leaking gastropleural fistula after partial esophagogastrectomy for cancer of the gastroesophageal junction, with controlled traumatic colonic injury (Figure 1).
Funding This research received no specific grant from any funding agency in the public, commerical, or not-for-profit sectors.
Conflict of interest statement None declared.
1 2
King Abdullah Medical City, Makkah, Saudi Arabia Mansoura University, Mansoura, Egypt
Corresponding author: Sameh Ibrahim Sersar, Mansoura University 35516, Mansoura, Egypt. Email: [email protected]
Downloaded from aan.sagepub.com at UNIV OF LETHBRIDGE on November 14, 2015
