title: Esophagopleural fistula originating from diverticulum after pneumonectomy. A case report and review of the literature.
abstract: 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.
authors.affiliation: Department of Surgery II, University of Occupational and Environmental Health, Kitakyusyu, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Inoue
authors.forename: R
authors.initials: R
authors.lastname: Nakanishi
authors.forename: T
authors.initials: T
authors.lastname: Osaki
authors.forename: T
authors.initials: T
authors.lastname: Yoshimatsu
authors.forename: K
authors.initials: K
authors.lastname: Yasumoto
mesh_terms: 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