Gastropleural fistula due to gastric lymphoma presenting as tension pneumothorax and empyema.
The formation of a gastropleural fistula is an uncommon complication of a number of conditions. The case of a patient with gastropleural fistula, as a complication of gastric lymphoma, is presented. The patient developed a tension pneumothorax and empyema. On cytological examination of the empyematous fluid, the presence of food debris aided diagnosis. The patient died 2 days after a total gastrectomy. The development of this complication in gastric lymphoma appears to have a particularly poor prognosis.
Warburton
C J
CJ
Aintree Chest Centre, Fazakerley Hospital, Liverpool, UK.
Calverley
P M
PM
D000368:Aged; D016724:Empyema, Pleural / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000209:etiology*; D005747:Gastric Fistula / Q000209:etiology*; D006801:Humans; D018442:Lymphoma, B-Cell, Marginal Zone / Q000150:complications*; D010995:Pleural Diseases / Q000209:etiology*; D011030:Pneumothorax / Q000209:etiology*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications; D013274:Stomach Neoplasms / Q000150:complications*