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| CASE REPORT |
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| 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.
SA Rege, RS Narlawar, AA Deshpande, AN Dalvi
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
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 11832600 
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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