Abstract
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.
Original language | English (US) |
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Pages (from-to) | 1895-1897 |
Number of pages | 3 |
Journal | Radiology Case Reports |
Volume | 18 |
Issue number | 5 |
DOIs | |
State | Published - May 2023 |
Externally published | Yes |
Keywords
- Dual energy CT
- Gastric leak
- Gastropulmonary fistula
- Sleeve gastrectomy
- Upper gastrointestinal swallow
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging