Abstract
A gastrobronchial fistula (GBF) is a rare and life-threatening disease. The prognosis in patients with GBF is related to early diagnosis and urgent surgical intervention. We report a rare case of fistulous communication between the stomach and the residual pleural space, presenting with a 1-month history of coughing. The patient was initially misdiagnosed as having bronchitis. When patients present with a persistent long-term dry cough, we suggest that GBF should be included when making a differential diagnosis. We provide a review of the literature by discussing possible causes such as erosion into a bronchus after a perigastric abscess secondary to gastric ulcer perforation.
Highlights
A gastrobronchial fistula (GBF) is a rare and life-threatening disease
A gastric ulcer perforation was found on the fundus with a localized subphrenic abscess with stomach content and possible fistulous connection between the gastric fundus and the left lower lobe (LLL) bronchus (Figure 1b)
The waterproof test demonstrated the Figure 1b: During exploratory surgery on an 84-year-old male patient, a gastric ulcer perforation was found over the fundus region with expelled stomach content
Summary
A gastrobronchial fistula (GBF) is a rare and life-threatening disease. The prognosis in patients with GBF is related to early diagnosis and urgent surgical intervention. He had been given antimicrobial therapy under the diagnosis of acute bronchitis at the local medical center, prior to the sudden onset of chest pain, epigastric pain, and breathlessness and change in consciousness for 1 day. He had an operative history of the perforation of a gastric ulcer 6 years previously.
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