Gastropleural fistula derived from malignant lymphoma.
An 88-year-old man developed pneumothorax and pleural effusion. After the finding of ingesta in the pleural effusion, a gastropleural fistula was diagnosed. A biopsy specimen of the stomach revealed non-Hodgkin lymphoma, diffuse large-cell, B-cell type. Autopsy examination demonstrated that the malignant lymphoma had originated from high-grade gastric mucosa-associated lymphoid tissue (MALT) lymphoma. Gastropleural fistula is an uncommon condition, as the diaphragm forms a thick barrier between the stomach and the thoracic cavity. We review 25 reported cases of gastropleural fistula found in a MEDLINE search from 1966 to 2000. In only 3 of the 25 patients was malignant lymphoma reported to have caused the gastropleural fistula.
Adachi
Yasushi
Y
Department of Internal Medicine, Sapporo Shirakabadai Hospital, Sapporo, Japan.
Sato
Yoshiaki
Y
Yasui
Hiroshi
H
Nishimura
Susumu
S
Tanimura
Akiko
A
Yuasa
Hiroo
H
Ishi
Yoshifumi
Y
Imai
Kohzoh
K
Kato
Yasuo
Y
D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D017809:Fatal Outcome; D005402:Fistula / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007150:Immunohistochemistry; D018442:Lymphoma, B-Cell, Marginal Zone / Q000150:complications* / Q000175:diagnosis; D008297:Male; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D010997:Pleural Neoplasms / Q000209:etiology* / Q000473:pathology; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology; D013902:Radiography, Thoracic; D018570:Risk Assessment; D013274:Stomach Neoplasms / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed