[Gastropleural fistula presenting with a pyopneumothorax in pregnancy].
BACKGROUND
Gastropleural fistula has only rarely been described in the literature, typically presenting with evidence of left-sided pleural infection.


METHODS
The diagnosis may be suggested by the occurrence of chest pain and repeated vomiting with the diagnosis confirmed by microbiological examination of the pleural fluid and appropriate radiological investigations. The fistula occurs most frequently after abdominal or anterior thoracic surgery. Generally, surgical repair should be performed urgently but in the case that we describe occurring during pregnancy, surgery was delayed for 10 weeks until a caesarean section could be performed.


CONCLUSIONS
In the presence of left-sided basal pleuritic chest pain in the context of a possible gap in the diaphragm the diagnosis of gastropleural fistula should be considered. Treatment is usually a medico-surgical emergency.
Grouet
A
A
Service de Pneumologie, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Pierre-Bénite, France.
Perrot
E
E
Peix
J-L
JL
Guibert
B
B
Isaac
S
S
Gérinière
L
L
Souquet
P-J
PJ
D000328:Adult; D005260:Female; D005402:Fistula / Q000175:diagnosis*; D005747:Gastric Fistula / Q000175:diagnosis*; D006498:Hepatectomy; D006801:Humans; D010995:Pleural Diseases / Q000175:diagnosis*; D011030:Pneumothorax / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*