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Esophagopleural fistula originating from diverticulum after pneumonectomy. A case report and review of the literature

Inoue, M.; Nakanishi, R.; Osaki, T.; Yoshimatsu, T.; Yasumoto, K.

Journal of Cardiovascular Surgery 40(5): 761-763

1999

ISSN/ISBN: 0021-9509
PMID: 10597019
Document Number: 506902
Esophagopleural fistula (EPF) is a very rare and fatal disease. A 56 year-old man developed a pyothorax resulting from an EPF with esophageal diverticulum after a right pneumonectomy. The patient was successfully treated with a three-stage operation and control of infection and nutritional status. First, fenestration was performed, then an ante-thoracic gastroplasty, and a radical thoracoplasty was performed. Surgical management, nutritional support, and control of infection were the cornerstones of the treatment of EPF.

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