@article{article_817048, title={Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord}, journal={The Ulutas Medical Journal}, volume={6}, pages={80–86}, year={2020}, DOI={10.5455/umj.20200422034809}, author={Razafimanjato, Narindra Njarasoa Mihaja and Tsiambanizafy, Odilon G and Ravelomihary, Tsiry Dn and Ravoatrarilandy, Manjakaniaina and Rakototitana, Auberlin F and Rakotovao, Hanitrala Jl}, keywords={Fistula, fecopneumothorax, Thoracic Trauma}, abstract={Introduction: Our case highlights an extremely rare colopleural fistula in the setting of post-traumatic diaphragmatic hernia following penetrating wound thoracic of zebu gord with delayed presentation, suspected clinic-radiologically and confirmed on surgery.
Case presentation: A 60-year old moribund male with three months history of open-chest penetrating due to zebu gord, came to the emergency department with a clinical presentation of sepsis syndrome and a deterioration of the general status. On examination, the patient cachectic presented a fecopurulent liquid drainage from an orifice in the anterolateral region of left hemithorax with necrotizing fasciitis. A chest X-ray showed uncompressing hydropneumothorax in the left pleural cavity.
Conclusion: The patient we report had the most serious complications of post-traumatic diaphragmatic hernia, fecopneumothorax, pleurocutaneous fistula, and necrotizing fasciitis. An emergency laparotomy was carried out. The problem was successfully treated by colon resection anastomosis, pleurectomy, and negative pressure therapy.}, number={2}, publisher={Kemal Türker ULUTAŞ}