Background: Thoracic anastomotic fistula (TAF) is a severe postoperative complication of oesophagectomy, and its occurrence coupled with a thoracic gastrocutaneous fistula (TGCF) and tracheostenosis is very unusual and may lead to a fatal consequence.
Case Presentation: We describe a case of an old female diagnosed with mid-oesophageal carcinoma, who presented with a TAF after oesophagectomy, which was healed by an effective treatment, while a severe TGCF and tracheostenosis appeared one month postoperation. The complications were detected by gastroscopy, barium oesophagogram and thoracic computed tomography (CT). Through surgical treatments, including pedicled muscle flap filling and thoracoplasty, and a correlated corrective procedure, the patient completely recovered and was discharged six months after the admission.
Conclusion: Treatment by pedicled muscle flap filling and thoracoplasty after oesophagectomy for oesophageal squamous cell carcinoma can be a curative alternative for the severe thoracic gastrocutaneous fistula.
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http://dx.doi.org/10.1016/j.ijscr.2019.01.009 | DOI Listing |
Asian J Surg
March 2024
Division of Plastic and Reconstructive Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei, Taiwan; Graduate Institute of Biomedical Electronics & Bioinformatics, National Taiwan University, Taipei, Taiwan. Electronic address:
Int J Surg Case Rep
January 2019
Department of Cardio-Thoracic Surgery, Shenzhen University General Hospital, Shenzhen, China. Electronic address:
Background: Thoracic anastomotic fistula (TAF) is a severe postoperative complication of oesophagectomy, and its occurrence coupled with a thoracic gastrocutaneous fistula (TGCF) and tracheostenosis is very unusual and may lead to a fatal consequence.
Case Presentation: We describe a case of an old female diagnosed with mid-oesophageal carcinoma, who presented with a TAF after oesophagectomy, which was healed by an effective treatment, while a severe TGCF and tracheostenosis appeared one month postoperation. The complications were detected by gastroscopy, barium oesophagogram and thoracic computed tomography (CT).
J Pediatr Surg
May 2018
Department of Pediatric General and Thoracic Surgery, British Columbia Children's Hospital, Vancouver, British Columbia V6H 3V4, Canada.
Background: Gastrostomy tubes are a common adjunct to the care of vulnerable pediatric patients. This study systematically evaluates the epidemiology and risk-factors for gastrocutaneous fistulae (GCF) after gastrostomy removal in children and reviews treatment options focusing on nonoperative management (NOM).
Methods: After protocol registration (CRD-42017059565), multiple databases were searched.
J Small Anim Pract
June 2004
Department of Small Animal Clinical Studies, Faculty of Veterinary Medicine, Belfield, Dublin 4, Ireland.
A six-year-old, female Tibetan terrier was referred for investigation of a non-healing wound on the left caudal thorax. A subcutaneous swelling had initially developed on the chest wall, followed by a draining tract from which seropurulent fluid drained for two months. There had been no response to antibiotic treatment.
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