Gastropleural Fistula in a Child with Acute Lymphoblastic Leukemia Due to Perforated Gastric Ulcer

Khera, Sanjeev; Chand, Kailash; Mishra, Atul; Parikh, Badal; Simalti, Ashish Kumar

doi:10.1007/s12098-021-03764-y

Cited by 2 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, surgical management involving a thoracotomy and potentially a laparotomy is the only possible way to save these patients. The prognosis of gastropleural fistulas depends on the etiology of the fistula, early diagnosis, and prompt management [ 1 , 2 , 4 ]. The mortality and morbidity are associated with the extravasation of corrosive gastric contents exuding into the pleural and peritoneal cavities, and the nutritional deficit occurring due to the perforation [ 1 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The rare thoracic complication: perforation of gastric fundus ulcer: a case report

Polyakov

Kovalenko²,

Petrovsky

et al. 2022

J Med Case Reports

View full text Add to dashboard Cite

Background Gastropleural fistula is an exceptionally rare condition, the incidence of which is currently unknown (Kunieda et al. in Intern Med 51(3):331, 2012, https://doi.org/10.2169/internalmedicine.51.6823, Iqbal et al. in Cureus 11(2):e4136, 2019, https://doi.org/10.7759/cureus.4136, Kathayanatt et al. in Lung India 37(2):174–175, 2020, https://doi.org/10.4103/lungindia.lungindia_242_17). The etiology varies from traumatic or iatrogenic injury to perforation in a herniated stomach due to ischemia, ulceration, or malignancy. Case presentation A 27-year-old European male presented to our hospital with complaints of general weakness and shortness of breath. The patient had a single episode of hemoptysis before admission. A computed tomography scan demonstrated a left-sided pyopneumothorax, a defect in the left main bronchus, and signs of pneumonia in the lower sections of the right lung. Therefore, a rare complication of perforation of a gastric fundus ulcer with the formation of a subdiaphragmatic abscess, gastropleural fistula, gangrene of the left lung with circular necrosis of the left main bronchus and diastasis of its edges, and pleural empyema on the left is presented in this report. Conclusions Although, a radical surgery may be preferable for this suspected malignancy; it should be weighed carefully against the risk of sepsis and the morbidity associated with a prolonged procedure in a sick patient. Damage-control surgery may be a viable option for a very sick patient, with more extensive resection reserved for later, provided the risk of infection and bleeding has been mitigated.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The prognosis of patients with a gastropleural fistula is poor. However, surgical management involving a laparotomy and potentially a thoracotomy has been described depending on the underlying etiology [1][2][3]. At present, a limited number of cases have been submitted to the medical databases.…”

Section: Introductionmentioning

confidence: 99%