Abstract
A 68-year-old woman developed a gastrohepatopleural fistula with pleural effusion as a result of a gastric diverticulum complicated by a hepatic abscess. The diagnosis required multiple imaging studies, two gastroscopies, and a barium study of the upper gastrointestinal tract. The patient underwent laparotomy with surgical removal of the fistula, which represents a definite intervention if performed early.
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