Gastropleural Fistula Caused by Peritoneal Carcinomatosis in Metastatic Ovarian Cancer: A Case Report and Review of Literature

Matteo Giaj Levra ； Julien Pavillet ； Mary Callanan ； Hervé Curé ； Mireille Mousseau

《Journal of pioneering medical sciences》 6卷4期 (2016/12) Pp. 110-112

摘要

Gastropleural fistula frequently occurs as a complication of peptic ulcer, surgery, or as a consequence of trauma or malignant disease. Here, we report the case of a 59- year old woman with a history of metastatic ovarian cancer, who was hospitalized with a suspected diagnosis of pneumonia. During hospitalization, a left pneumothorax was found requiring a thoracic drain. After drainage, chest X-ray showed a massive pleural effusion and thoracic Computed Tomography (CT) scan demonstrated a gastropleural fistula. Because of the patient's clinical condition, surgery was not possible and the patient was treated with supportive care. This case report illustrates a rare complication of an oncological disease which could be treated, in optimal clinical conditions, with a surgical approach.

關鍵字

Gastropleural Fistula ； Ovarian Cancer ； Metastases