Gastropleural fistula following pulmonary resection.
A 77 year old man with an eight month history of polymyalgia rheumatica treated by steroids underwent left lower lobectomy for a non-small cell carcinoma. Following discharge he developed a pneumothorax, empyema, septicaemia, and acute renal failure. Reinvestigation and reoperation showed this to be caused by a non-malignant non-traumatic direct gastropleural fistula.
O'Keefe
P A
PA
Royal Brompton National Heart and Lung Hospital, London.
Goldstraw
P
P
D000368:Aged; D005402:Fistula / Q000209:etiology*; D005747:Gastric Fistula / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D010995:Pleural Diseases / Q000209:etiology*; D011111:Polymyalgia Rheumatica / Q000150:complications; D011183:Postoperative Complications / Q000209:etiology*