title: Management of a rare gastrobronchial fistula following recurrent pancreatitis.
abstract: A 41-year-old male smoker presented with choking and coughing up food associated with repeated vomiting. Four years previously, following recurrent episodes of pancreatitis, he required percutaneous necrosectomy. He subsequently had a cholecystectomy and mesh repair of the abdominal wall, and later developed multiple problems including a gastrobronchial fistula. Computed tomography revealed a fistulous connection for which he had a combined procedure. Through a thoracolaparotomy approach, the left lower lobe and fistulous connection were removed along with the surrounding diaphragm and the associated fundus of the stomach. The diaphragm defect was repaired without mesh.
authors.affiliation: Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, UK m.nawaz@nhs.net.
authors.forename: Muhammad Asghar
authors.initials: MA
authors.lastname: Nawaz
authors.affiliation: Department of General Surgery, Glasgow Royal Infirmary, Glasgow, UK.
authors.forename: Euan
authors.initials: E
authors.lastname: Dickson
authors.affiliation: Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, UK.
authors.forename: Ian W
authors.initials: IW
authors.lastname: Colquhoun
mesh_terms: D000328:Adult; D001706:Biopsy; D001983:Bronchial Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D003964:Diaphragm / Q000601:surgery; D005743:Gastrectomy / Q000379:methods*; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Bronchial fistula; digestive system fistula; gastric fistula; pancreatitis; respiratory tract fistula