title: A leak too far--gastro-pleural fistula mimicking recurrence of repaired congenital diaphragmatic hernia following fundoplication.
abstract: Recurrence rate after a congenital diaphragmatic hernia repair is high especially after a patch repair. Recurrence can be asymptomatic, followed by respiratory or gastrointestinal symptoms and the diagnosis is usually confirmed radiologically. We present an unusual case of radiologically diagnosed recurrent left diaphragmatic hernia but at surgery was found to be a gastro-pleural fistula that occurred as a complication following fundoplication surgery.
authors.affiliation: Department of Paediatric Surgery, John Radcliffe Hospital, Oxford, UK.
authors.forename: Bhanumathi
authors.initials: B
authors.lastname: Lakshminarayanan
authors.affiliation: Department of Paediatric Surgery, John Radcliffe Hospital, Oxford, UK.
authors.forename: Robert David
authors.initials: RD
authors.lastname: Morgan
authors.affiliation: Department of Paediatric Radiology, John Radcliffe Hospital, Oxford, UK.
authors.forename: Kaye
authors.initials: K
authors.lastname: Platt
authors.affiliation: Department of Paediatric Surgery, John Radcliffe Hospital, Oxford, UK.
authors.forename: Kokila
authors.initials: K
authors.lastname: Lakhoo
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D018662:Fundoplication / Q000009:adverse effects*; D005747:Gastric Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D010995:Pleural Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D016156:Respiratory Tract Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome
keywords: Congenital diaphragmatic hernia; gastro-pleural fistula; recurrence