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

Alessandro Bini, Manuele Grazia, Francesco Petrella, Franco Stella, Ruggero Bazzocchi

Research output: Contribution to journalArticle

13 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)339-341
Number of pages3
JournalAnnals of Thoracic Surgery
Volume78
Issue number1
DOIs
Publication statusPublished - Jul 2004

Fingerprint

Fistula
Stomach
Gastric Fistula
Gastroenterostomy
Hiatal Hernia
Gastric Bypass
Morbid Obesity
Stomach Ulcer
Laparotomy
Drainage
Adenocarcinoma
Thorax
Lung

Keywords

  • 6

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Spontaneous biliopneumothorax (thoracobilia) following gastropleural fistula due to stomach perforation by nasogastric tube. / Bini, Alessandro; Grazia, Manuele; Petrella, Francesco; Stella, Franco; Bazzocchi, Ruggero.

In: Annals of Thoracic Surgery, Vol. 78, No. 1, 07.2004, p. 339-341.

Research output: Contribution to journalArticle

Bini, Alessandro ; Grazia, Manuele ; Petrella, Francesco ; Stella, Franco ; Bazzocchi, Ruggero. / Spontaneous biliopneumothorax (thoracobilia) following gastropleural fistula due to stomach perforation by nasogastric tube. In: Annals of Thoracic Surgery. 2004 ; Vol. 78, No. 1. pp. 339-341.
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