A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer
Abstract Background Gastrobronchial fistulas are rare, but life-threatening, complications of esophagectomy. They are caused by anastomotic leakage and mainly occur around anastomotic sites. In the present paper, we report a rare case of leakage from the staple line of a gastric tube after esophagec...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2021-04-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-021-01178-8 |
| _version_ | 1818598129005494272 |
|---|---|
| author | Tohru Nishimura Chisakou Fuse Masayuki Akita Nobuhisa Takase Eri Maeda Koichiro Abe Akihito Kozuki Kunio Yokoyama Tomohiro Tanaka Shinji Kishi Toshihiko Sakamoto Tetsuya Sakai Kunihiko Kaneda |
| author_facet | Tohru Nishimura Chisakou Fuse Masayuki Akita Nobuhisa Takase Eri Maeda Koichiro Abe Akihito Kozuki Kunio Yokoyama Tomohiro Tanaka Shinji Kishi Toshihiko Sakamoto Tetsuya Sakai Kunihiko Kaneda |
| author_sort | Tohru Nishimura |
| collection | DOAJ |
| description | Abstract Background Gastrobronchial fistulas are rare, but life-threatening, complications of esophagectomy. They are caused by anastomotic leakage and mainly occur around anastomotic sites. In the present paper, we report a rare case of leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer, which was successfully treated using an intercostal muscle flap and lung resection. Case presentation A 61-year-old male underwent subtotal esophagectomy with regional lymphadenectomy for esophageal cancer. The sutures along the staple line of the gastric tube failed 11 days after surgery, and a pulmonary abscess was also found on imaging. The abscess did not heal after conservative treatment; therefore, right lower lobectomy, gastrobronchial fistula resection, primary closure, and patching of the leaking portion of the gastric tube with an intercostal muscle flap were performed 9 months after the first operation. The patient’s postoperative course was uneventful, and he was discharged on the 354th day. Conclusions We experienced a case involving a gastrobronchial fistula caused by leakage from the staple line of a gastric tube and successfully treated it by performing right lower lobectomy and patching the leak with an intercostal muscle flap. |
| first_indexed | 2024-12-16T11:58:47Z |
| format | Article |
| id | doaj.art-591de7922c5d4fdda73b9c58791593c8 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-16T11:58:47Z |
| publishDate | 2021-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-591de7922c5d4fdda73b9c58791593c82022-12-21T22:32:29ZengSpringerOpenSurgical Case Reports2198-77932021-04-01711610.1186/s40792-021-01178-8A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancerTohru Nishimura0Chisakou Fuse1Masayuki Akita2Nobuhisa Takase3Eri Maeda4Koichiro Abe5Akihito Kozuki6Kunio Yokoyama7Tomohiro Tanaka8Shinji Kishi9Toshihiko Sakamoto10Tetsuya Sakai11Kunihiko Kaneda12Department of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Thoracic Surgery, Steel Memorial Hirohata HospitalDepartment of Surgery, Steel Memorial Hirohata HospitalDepartment of Surgery, Kakogawa Central City HospitalAbstract Background Gastrobronchial fistulas are rare, but life-threatening, complications of esophagectomy. They are caused by anastomotic leakage and mainly occur around anastomotic sites. In the present paper, we report a rare case of leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer, which was successfully treated using an intercostal muscle flap and lung resection. Case presentation A 61-year-old male underwent subtotal esophagectomy with regional lymphadenectomy for esophageal cancer. The sutures along the staple line of the gastric tube failed 11 days after surgery, and a pulmonary abscess was also found on imaging. The abscess did not heal after conservative treatment; therefore, right lower lobectomy, gastrobronchial fistula resection, primary closure, and patching of the leaking portion of the gastric tube with an intercostal muscle flap were performed 9 months after the first operation. The patient’s postoperative course was uneventful, and he was discharged on the 354th day. Conclusions We experienced a case involving a gastrobronchial fistula caused by leakage from the staple line of a gastric tube and successfully treated it by performing right lower lobectomy and patching the leak with an intercostal muscle flap.https://doi.org/10.1186/s40792-021-01178-8Gastrobronchial fistulaEsophagectomyAnastomotic leakageEsophageal cancerIntercostal muscle flap |
| spellingShingle | Tohru Nishimura Chisakou Fuse Masayuki Akita Nobuhisa Takase Eri Maeda Koichiro Abe Akihito Kozuki Kunio Yokoyama Tomohiro Tanaka Shinji Kishi Toshihiko Sakamoto Tetsuya Sakai Kunihiko Kaneda A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer Surgical Case Reports Gastrobronchial fistula Esophagectomy Anastomotic leakage Esophageal cancer Intercostal muscle flap |
| title | A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer |
| title_full | A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer |
| title_fullStr | A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer |
| title_full_unstemmed | A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer |
| title_short | A case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer |
| title_sort | case report of a gastrobronchial fistula and lung abscess caused by leakage from the staple line of a gastric tube after esophagectomy for esophageal cancer |
| topic | Gastrobronchial fistula Esophagectomy Anastomotic leakage Esophageal cancer Intercostal muscle flap |
| url | https://doi.org/10.1186/s40792-021-01178-8 |
| work_keys_str_mv | AT tohrunishimura acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT chisakoufuse acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT masayukiakita acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT nobuhisatakase acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT erimaeda acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT koichiroabe acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT akihitokozuki acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT kunioyokoyama acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT tomohirotanaka acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT shinjikishi acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT toshihikosakamoto acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT tetsuyasakai acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT kunihikokaneda acasereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT tohrunishimura casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT chisakoufuse casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT masayukiakita casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT nobuhisatakase casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT erimaeda casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT koichiroabe casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT akihitokozuki casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT kunioyokoyama casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT tomohirotanaka casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT shinjikishi casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT toshihikosakamoto casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT tetsuyasakai casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer AT kunihikokaneda casereportofagastrobronchialfistulaandlungabscesscausedbyleakagefromthestaplelineofagastrictubeafteresophagectomyforesophagealcancer |