Spontaneous biliopneumothorax (thoracobilia) following gastropleural fistula due to stomach perforation by nasogastric tube

The Annals of Thoracic Surgery
Alessandro BiniRuggero Bazzocchi

Abstract

Gastropleural fistula may occur after pulmonary resection, perforated paraesophageal hernia, perforated malignant gastric ulcer at the fundus, or gastric bypass surgery for morbid obesity. We describe a case of gastropleural fistula after stomach perforation by a nasogastric tube in a patient who underwent Billroth II gastric resection for adenocarcinoma. Left biliopneumothorax occurred and was treated by thoracic drainage with -20 cm H2O aspiration. As gastropleural fistula persisted, laparotomy was repeated and gastric and diaphragmatic perforations were sutured. Gastropleural fistula is rare and, to our knowledge, this is the first reported case of gastropleural fistula and biliopneumothorax caused by gastric and diaphragmatic perforation by a nasogastric tube.

References

May 1, 1990·Respiratory Medicine·C M RobertsS G Spiro
Dec 1, 1993·Thorax·P A O'Keefe, P Goldstraw
Jul 1, 1997·The European Respiratory Journal·C J Warburton, P M Calverley
Jul 1, 1960·Annals of Surgery·A M MARKOWITZ, F P HERTER
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Pankaj K JhaSatish R Das

❮ Previous
Next ❯

Citations

Jan 15, 2014·Journal of Radiology Case Reports·Bhanumathi LakshminarayananKokila Lakhoo
Apr 1, 2007·Annals of Thoracic Medicine·Anshuman DarbariG P Singh
Jan 25, 2014·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M-R LeeP-R Hsueh
Aug 28, 2016·Respiratory Investigation·Takeshi SarayaHajime Takizawa
Jan 13, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ran B LuoSantiago Horgan
Jul 19, 2019·Case Reports in Pulmonology·Vikas D ReddyJoseph R DePasquale
Feb 29, 2020·Lung India : Official Organ of Indian Chest Society·Joseph Thomas KathayanattJayakumar Thanath
Jul 15, 2021·BMJ Case Reports·Samantha Ann PellegrinoGeorge Kalogeropoulos

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.