Esophagopleural fistula originating from diverticulum after pneumonectomy. A case report and review of the literature.
Esophagopleural fistula (EPF) is a very rare and fatal disease. A 56 year-old man developed a pyothorax resulting from an EPF with esophageal diverticulum after a right pneumonectomy. The patient was successfully treated with a three-stage operation and control of infection and nutritional status. First, fenestration was performed, then an ante-thoracic gastroplasty, and a radical thoracoplasty was performed. Surgical management, nutritional support, and control of infection were the cornerstones of the treatment of EPF.
Inoue
M
M
Department of Surgery II, University of Occupational and Environmental Health, Kitakyusyu, Japan.
Nakanishi
R
R
Osaki
T
T
Yoshimatsu
T
T
Yasumoto
K
K
D003937:Diagnosis, Differential; D004936:Diverticulum, Esophageal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015391:Gastroplasty; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011013:Pneumonectomy / Q000009:adverse effects*; D013902:Radiography, Thoracic; D012086:Reoperation; D013905:Thoracoplasty; D014057:Tomography, X-Ray Computed