TY  - JOUR
T1  - Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord
AU  - Razafimanjato, Narindra Njarasoa Mihaja
AU  - Tsiambanizafy, Odilon G
AU  - Ravelomihary, Tsiry Dn
AU  - Ravoatrarilandy, Manjakaniaina
AU  - Rakototitana, Auberlin F
AU  - Rakotovao, Hanitrala Jl
PY  - 2020
DA  - June
DO  - 10.5455/umj.20200422034809
JF  - The Ulutas Medical Journal
JO  - ULUTAS MED J
PB  - Kemal Türker ULUTAŞ
WT  - DergiPark
SN  - 2149-0430
SP  - 80
EP  - 86
VL  - 6
IS  - 2
LA  - en
AB  - 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.
KW  - Fistula
KW  - fecopneumothorax
KW  - Thoracic Trauma
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UR  - https://doi.org/10.5455/umj.20200422034809
L1  - https://dergipark.org.tr/tr/download/article-file/1366220
ER  -