Abstract
Gastropleural fistula (GPF) is a rare, life-threatening complication of gastric sleeve surgery. GPF is an uncommon differential diagnosis to consider in a patient presenting with a picture of pneumonia. As such, GPF should be suspected in a patient with a history of nonresolving pneumonia who recently underwent gastric sleeve surgery. To the best of our knowledge, only eight cases of gastropleural fistulas after bariatric surgery have been reported in the literature. Herein, we report a case of gastropleural fistula after gastric sleeve surgery and review the pertinent literature. A gastropleural fistula is an exceedingly rare and life-threatening complication postbariatric surgery. Nonsurgical conservative management (total parenteral nutrition, percutaneous drainage, and antibiotics with endoscopic stenting) can be considered.
Highlights
Laparoscopic sleeve gastrectomy (LSG) is a restrictive, nonreversible bariatric procedure for managing obesity
Considering the rarity of gastropleural fistulas, this case report outlines the clinical presentation, radiological findings, and outcome of a 24-year-old male who was diagnosed with a gastropleural fistula that is communicating with a perisplenic collection after gastric sleeve surgery
Gastropleural fistula is a rare complication by which the stomach lumen is pathologically communicating with the pleural space
Summary
Laparoscopic sleeve gastrectomy (LSG) is a restrictive, nonreversible bariatric procedure for managing obesity. It involves removing 85% of the stomach and stabling back the remaining portions together. LSG is a relatively safe surgical option for weight loss, some complications have been reported in the literature. Such complications include, but are not limited to, leakage, clots, infections, strictures, and hemorrhage, with gastric sleeve dilatations and staple-line leaks being the most common [2]. In the vast majority of patients, the duration of gastric leak development is usually less than 14 days after bariatric surgery [4]. Considering the rarity of gastropleural fistulas, this case report outlines the clinical presentation, radiological findings, and outcome of a 24-year-old male who was diagnosed with a gastropleural fistula that is communicating with a perisplenic collection after gastric sleeve surgery
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