Gastro-pleural fistula related with penetrating stab injuries of the chest and abdomen: laparotomy or thoracotomy.

H. C. Hsieh, H. P. Liu, P. J. Lin, J. J. Chu, J. P. Chang, M. J. Hsieh, C. H. Chang, R. J. Chen

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Abstract

A 30-year-old male presented with left side empyema due to gastro-pleural fistula following repair of penetrating stab injuries of left lower chest and abdomen. Exploratory thoracotomy was done due to persistent moderate amount of purulent discharge. However, fistula tract was not detected through this approach. The small fistula tract was repaired finally through laparotomy. We recommended the abdominal approach if the disease is not combined with diaphragmatic hernia. Transabdominal approach showed superiority in this rare entity.

Original languageEnglish
Title of host publicationChanggeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital
Pages120-124
Number of pages5
Volume16
Edition2
Publication statusPublished - Jun 1993
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hsieh, H. C., Liu, H. P., Lin, P. J., Chu, J. J., Chang, J. P., Hsieh, M. J., Chang, C. H., & Chen, R. J. (1993). Gastro-pleural fistula related with penetrating stab injuries of the chest and abdomen: laparotomy or thoracotomy. In Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital (2 ed., Vol. 16, pp. 120-124)