POSTTRAVMATİK DİYAFRAGMATİK HERNİYE SEKONDER GELİŞEN GASTROPLEVRAL FİSTÜL

Yıl 2005, Cilt: 19 Sayı: 1, 27 - 29, 01.05.2005

Gökhan Yuncu Şeyda Örs Kaya Ahmet Üçvet Serpil Sevinç Kenan Can Ceylan İbrahim Kokulu

Öz

Travmatik diyafragma hernisi tanısı gerek akut gerek kronik fazda, ayırıcı tanıda düşünülmediği sürece gözden kaçmaktadır. Toraksa nafiz bir kesicidelici alet yaralanmasından 2 yıl sonra hidropnömotoraks nedeniyle kliniğimize kabul edilen olguda gastroplevral fistül saptanarak cerrahi onarımı başarıyla yapılmıştır. Travmatik diyafragma hernisi sonrası gelişen gastroplevral fistül son derece nadirdir. Araştırmamıza göre daha önce travmatik diyafragma hernisini takiben ampiyem ve pnömotoraksla ortaya çıkan başka olgu bildirilmemiştir.

Anahtar Kelimeler

Gastroplevral fistül, diyafragma hernisi

GASTROPLEURAL FISTULA AS A SECONDARY TO POSTTRAUMATIC DIAPHRAGMATIC HERNIA

Öz

Traumatic diaphragmatic hernia diagnosis can not consider at the acut or chronic phase when in the distinctive diagnosis do not suggest. We report on a patient who applied to our clinic for hydropneumothorax 2 year after penetrating thoracic trauma, diagnosed as gastropleural fistula and surgical treatment was successfully done. The presentation of a traumatic diaphragmatic hernia as a gastropleural fistula has been rarely reported. To our knowledge, empyema with pneumothorax secondary to gastropleural fistula following a traumatic diaphragmatic rupture has not been described previously.

Anahtar Kelimeler

Gastropleural fistula, diaphragmatic hernia

Kaynakça

• 1. Seelig MH, Klingler PJ, Schönleben K. Tension fecopneumothorax due to colonic perforation in a diaphragmatic hernia. Chest 1999; 115 (1): 288-91.
• 2. Montresor E, Bortolasi L, Modena S, Ragni E, Attino M, Mangiante G, Mainente M, Puchetti V. G. Chir 1997; 18 (5): 295-6.
• 3. Schwab RJ, Jarvic JG. Tension pneumothorax secondary to a gastropleural fistula in a traumatic diaphragmatic hernia. Chest 1991; 99(1): 247-9.
• 4. Rotsrein OD, Pruett TL, Simmons RL. Gastropleural fistula. Report of three cases and review of the literature. Am J Surg 1985; 150(3): 392-6.
• 5. Warburton CJ, Calverley PM. Gastropleural fistula due to gastric lymphoma presenting astension pneumothorax and empyema. Eur Respir J 1997; 10 (7): 1678-9.
• 6. Athanassiadi K, Kalavrouziotis G, Athanassiou M, Vernikos P, Skrekas G, Poultsidi A, Bellenis I. Blunt diaphragmatic rupture. Eur J Cardiothorac Surg 1999;15(4): 469-74.
• 7. O'Keefe PA, Goldstraw P. Gastropleural fistula following pulmonary resection. Thorax 1993; 48 (12): 1278-9.