TY -的A2 -菊池,Shiro AU -拉米雷斯,丹尼尔AU - Appelbe, Graham AU - Vattipally, Venkatramana AU - Miller, Justin PY - 2020 DA - 2020/11/16 TI - A Rare Complication of Noncompliance Status Post-Transhiatal Esophagectomy and Esophago-Gastroanastomosis SP - 8833110 VL - 2020 AB - Gastropleural fistulas are a complication of peptic ulcers in hiatal hernias, trauma, infections, surgical complications, and malignancy. Presenting symptoms may include gastric and chest pain with respiratory failure in the setting of pneumonitis, hydropneumothorax, or tension pneumothorax. We describe a 57-year-old male with a history of transhiatal esophagectomy and esophago-gastroanastomosis who presented in the setting of dyspnea and dark orogastric tube output. Upper endoscopy revealed multiple gastric ulcers with a dominant ulceration communicating with an adjacent space, and a fistulous tract was demonstrated on computed tomography chest, confirming a gastropleural fistula, a rare life-threatening condition. SN - 2090-6528 UR - https://doi.org/10.1155/2020/8833110 DO - 10.1155/2020/8833110 JF - Case Reports in Gastrointestinal Medicine PB - Hindawi KW - ER -