Gastropulmonary fistula following sleeve gastrectomy: use of dual-energy CT following oral contrast administration to confirm diagnosis

Gastropulmonary fistula represents a late complication of sleeve gastrectomy and, if untreated, has high morbidity and mortality. We present a case report of a 29-year-old female who developed a gastropulmonary fistula 3 years after a sleeve gastrectomy. Dual energy CT of the chest and upper abdomen...

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Bibliographic Details
Published in:Radiology case reports 2023-05, Vol.18 (5), p.1895-1897
Main Authors: Boerkoel, Pierre, Abdellatif, Waleed, Walsh, John P., Sugrue, Gavin, Louis, Luck J., Khosa, Faisal, Nicolaou, Savvas, Murray, Nicolas
Format: Article
Language:English
Subjects:
Case Report
Dual energy CT
Gastric leak
Gastropulmonary fistula
Sleeve gastrectomy
Upper gastrointestinal swallow
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Summary:Gastropulmonary fistula represents a late complication of sleeve gastrectomy and, if untreated, has high morbidity and mortality. We present a case report of a 29-year-old female who developed a gastropulmonary fistula 3 years after a sleeve gastrectomy. Dual energy CT of the chest and upper abdomen demonstrated a cavitary left lower lobe lesion associated with a focal complex pleural effusion; iodinated oral contrast confirmed the presence of a fistulous connection through the left hemidiaphragm. The patient underwent a thoracotomy, left lower lobectomy, resection of the infected segment of the left hemidiaphragm with primary repair, drainage of a subphrenic abscess and a gastric repair; the patient was discharged 2-weeks postprocedure.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2023.02.009