Gastropleural fistula due to gastric lymphoma presenting as tension pneumothorax and empyema

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Gastropleural fistula due to gastric lymphoma presenting as tension pneumothorax and empyema.

The formation of a gastropleural fistula is an uncommon complication of a number of conditions. The case of a patient with gastropleural fistula, as a complication of gastric lymphoma, is presented. The patient developed a tension pneumothorax and empyema. On cytological examination of the empyematous fluid, the presence of food debris aided diagnosis. The patient died 2 days after a total gast...

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Boerhaave's syndrome can present initially as a case of tension pneumothorax. Mortality rate with delayed treatment is very high, therefore diagnosis should be made rapidly in the emergency department. Multidisciplinary cooperation, immediate radiological confirmation, prompt aggressive resuscitation, and surgical intervention offer the best chance of survival.

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A 39-year-old female was admitted for antibiotic treatment of sepsis of unknown origin, which had been empirically treated with piperacillin-tazobactam. The patient had previously (five months prior) been diagnosed with renal cell carcinoma with clear cell histological features and had undergone a left partial nephrectomy without excision of the entire tumor. Three months before admission, the ...

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Herein, we report on a 24-year-old woman with a large well-marginated gastric mucosa-associated lymphoid tissue (MALT) lymphoma. She presented with dysphagia and epigastric pain. In esophago­gastro­duodeno­scopy there was a huge bulging submucosal mass with normal appearing mucosa in the cardia in addition to a grade B gastro-esophageal reflux disease. She was treated with a proton pump inhibit...

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pulmonary resection . Gastropleural fistula following

A 77 year old man with an eight month history of polymyalgia rheumatica treated by steroids underwent left lower lobectomy for a non-small cell carcinoma. Following discharge he developed a pneumothorax, empyema, septicaemia, and acute renal failure. Reinvestigation and reoperation showed this to be caused by a non-malignant non-traumatic direct gastropleural

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ژورنال

عنوان ژورنال: European Respiratory Journal

سال: 1997

ISSN: 0000-0000,0903-1936

DOI: 10.1183/09031936.97.10071678