Affordable Access

Access to the full text

A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer

Authors
  • Nishimura, Tohru1
  • Fuse, Chisakou1
  • Akita, Masayuki1
  • Takase, Nobuhisa1
  • Maeda, Eri1
  • Abe, Koichiro1
  • Kozuki, Akihito1
  • Yokoyama, Kunio1
  • Tanaka, Tomohiro1
  • Kishi, Shinji1
  • Sakamoto, Toshihiko2
  • Sakai, Tetsuya2
  • Kaneda, Kunihiko1
  • 1 Kakogawa Central City Hospital, Kakogawa, 675-8611, Japan , Kakogawa (Japan)
  • 2 Steel Memorial Hirohata Hospital, Himeji, Japan , Himeji (Japan)
Type
Published Article
Journal
Surgical Case Reports
Publisher
Springer Berlin Heidelberg
Publication Date
Apr 15, 2021
Volume
7
Issue
1
Identifiers
DOI: 10.1186/s40792-021-01178-8
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundGastrobronchial fistulas are rare, but life-threatening, complications of esophagectomy. They are caused by anastomotic leakage and mainly occur around anastomotic sites. In the present paper, we report a rare case of leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer, which was successfully treated using an intercostal muscle flap and lung resection.Case presentationA 61-year-old male underwent subtotal esophagectomy with regional lymphadenectomy for esophageal cancer. The sutures along the staple line of the gastric tube failed 11 days after surgery, and a pulmonary abscess was also found on imaging. The abscess did not heal after conservative treatment; therefore, right lower lobectomy, gastrobronchial fistula resection, primary closure, and patching of the leaking portion of the gastric tube with an intercostal muscle flap were performed 9 months after the first operation. The patient’s postoperative course was uneventful, and he was discharged on the 354th day.ConclusionsWe experienced a case involving a gastrobronchial fistula caused by leakage from the staple line of a gastric tube and successfully treated it by performing right lower lobectomy and patching the leak with an intercostal muscle flap.

Report this publication

Statistics

Seen <100 times