Gastropulmonary fistula following sleeve gastrectomy: use of dual-energy CT following oral contrast administration to confirm diagnosis
oleh: Pierre Boerkoel, BSc, Waleed Abdellatif, MD, John P. Walsh, MD, Gavin Sugrue, MD, Luck J. Louis, MD, Faisal Khosa, MD, Savvas Nicolaou, MD, Nicolas Murray, MD
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2023-05-01 |
Deskripsi
Gastropulmonary fistula represents a late complication of sleeve gastrectomy and, if untreated, has high morbidity and mortality. We present a case report of a 29-year-old female who developed a gastropulmonary fistula 3 years after a sleeve gastrectomy. Dual energy CT of the chest and upper abdomen demonstrated a cavitary left lower lobe lesion associated with a focal complex pleural effusion; iodinated oral contrast confirmed the presence of a fistulous connection through the left hemidiaphragm. The patient underwent a thoracotomy, left lower lobectomy, resection of the infected segment of the left hemidiaphragm with primary repair, drainage of a subphrenic abscess and a gastric repair; the patient was discharged 2-weeks postprocedure.