Journal of Postgraduate Medicine
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 CASE REPORT
Year : 2001  |  Volume : 47  |  Issue : 2  |  Page : 108-10

Iatrogenic gastric fistula due to inappropriate placement of intercostal drainage tube in a case of traumatic diaphragmatic hernia.


Departments of Surgery and Radiology, Seth G. S. Medical college and K.E.M. Hospital, Parel, Mumbai - 400 012, India., India

Correspondence Address:
S A Rege
Departments of Surgery and Radiology, Seth G. S. Medical college and K.E.M. Hospital, Parel, Mumbai - 400 012, India.
India
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Source of Support: None, Conflict of Interest: None


PMID: 11832600

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A 26-year-old, 30 weeks primigravida presented with a gastric fistula through a left intercostal drain, which was inserted for drainage of suspected haemopneumothorax following minor trauma. It was confirmed to be a diaphragmatic hernia, with stomach and omentum as its contents. On exploratory laparotomy, disconnection of the tube and fistulous tract, with reduction of herniated contents and primary suturing of stomach was carried out. Diaphragmatic reconstruction with polypropylene mesh was also carried out. Post-operative recovery was uneventful with full lung expansion by 3rd postoperative day. Patient was asymptomatic at follow-up 6 months.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow