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Gastrobronchial Fistula after Robotic Repair of Traumatic Diaphragmatic Hernia.


ABSTRACT: Gastrobronchial fistulas are a rare occurrence in the literature. We report a case of a gastrobronchial fistula after robotic repair of a chronic traumatic diaphragmatic hernia. The patient had severe respiratory symptoms with multiple studies that were inconclusive. The fistula was ultimately discovered after an esophagogastroduodenoscopy (EGD). The patient underwent a left thoracotomy for takedown of his fistula and eventually recovered. Earlier EGD and a lower threshold for differential that included this diagnosis would have led to an earlier identification and treatment of a rare disease process.

SUBMITTER: Tung JT 

PROVIDER: S-EPMC7102410 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Gastrobronchial Fistula after Robotic Repair of Traumatic Diaphragmatic Hernia.

Tung Jamie T JT   Lucero Leah M LM   Davis James W JW   Sue Lawrence P LP  

Case reports in surgery 20200315


Gastrobronchial fistulas are a rare occurrence in the literature. We report a case of a gastrobronchial fistula after robotic repair of a chronic traumatic diaphragmatic hernia. The patient had severe respiratory symptoms with multiple studies that were inconclusive. The fistula was ultimately discovered after an esophagogastroduodenoscopy (EGD). The patient underwent a left thoracotomy for takedown of his fistula and eventually recovered. Earlier EGD and a lower threshold for differential that  ...[more]

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