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Vol. 17. Issue 5.
Pages 247-250 (September - October 1981)
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Vol. 17. Issue 5.
Pages 247-250 (September - October 1981)
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Hernia diafragmatica traumatica y fistula gastropleurobronquial. A proposito de un caso
Diaphragmatic hernia by wound and gastropleurobroncheal fistula. Observations based on one case
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D. Nauffal Manzur, M. Perpiña Tordera, E. Benlloch Garcia, V. Marco Martinez
Servicio de Neumología. Departamento de Medicina Interna. Ciudad Sanitaria de la Seguridad Social «La Fe». Valencia
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Resumen

Se presenta un caso de fístula gastropleurobronquial secundaria a la colocación de un drenaje intratorácico en un paciente con derrame pleural y hernia diafragmática traumática. Los síntomas que presentaba eran expectoración alimentaria, hemoptisis y melenas. El diagnóstico se confirmó por el estudio radiológico. Se hace una revisión del tema encontrando descritos hasta la actualidad 47 casos de fístula gastrobronquial, de las que ocho son gastropleurobronquiales. Se resalta que el diagnóstico de certeza se basa en el estudio radiológico y que el tratamiento es quirúrgico, con buenos resultados en gran parte de casos; se comenta a continuación los factores que contribuyeron al fracaso de la intervención en nuestro caso.

Summary

The authors present the case of a gastropleurobroncheal fístula secondary to placing intrathoracic drainage for a patient with pleural effusion and diaphragmatic hernia by óound. The symptoms the patient presented were food expectoration, hemoptysis and melena. The diagnosis was confirmed by radiologic study. The authors reviewed this topic and found 47 cases of gastrobroncheal fistulae described up to now, of which eight were gastroplerubroncheal. The authors emphaisze the fact that defínitive diagnosis is based on radiologic study and that treatment is surgical, with good results for a large part of the cases. Finally, the authors comment on the factors that contributed to the failure of the intervention for their case.

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Copyright © 1981. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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