J Med Assoc Thai 2008; 91 (8):1291

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Gastropleural Fistula Following A Splenectomy for Splenic Abscess: A Case Report
Wuthisuthimethawee P Mail, Sangkhathat S , Ruegklinag C , Patrapinyokul S , Laoprasopwathana K

Gastropleural fistula is a rare condition that occurs as a consequence of various thoraco-abdominal
surgical procedures and septic conditions. The diagnosis is difficult, it needs a high index of suspicion and
appropriate investigations. There are no previous reports of a patient developing a fistula after a splenectomy
procedure. The authors report a twelve-year old boy who developed gastropleural fistula following thoracoabdominal
surgery, a splenectomy. The patient presented with the clinical condition of chronic empyema
thoracis and responded well to medical and surgical treatment.

Keywords: Gastropleural fistula, Splenectomy, Tuberculosis


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