Gastropleural fistula: an unusual sequel of gunshot injury to the chest

Abstract

Background: Gastropleural fistula is an uncommon condition; with prompt surgical treatment crucial for a good outcome.

Methods: We reviewed the records of a 35 year old man who was passing particulate matter draining from the chest tube following gunshot injury to the chest.

Results: Exploratory laparotomy showed three perforations on fundus of the stomach measuring 12cm by 4cm, 4cm by 2cm and 2cm by 1cm which were adhered to the diaphragm and communicating with the left pleural cavity through a diaphragmatic laceration measuring 14cm by 4cm associated with soilage of the left pleural cavity. Perforations and diaphragmatic laceration were repaired. However, patient died a few days afterwards.

Conclusion: Gastropleural fistula is uncommon. Prompt recognition is important so that surgery can be offered without delay.

Keywords: Gastropleural fistula; Gunshot injury