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Oesophageal rupture after right pneumonectomy: A case report
Jianmin Lv1, Fangbiao Zhang2, Shaosong Tu2
1Department of Operating Room, Zhejiang University, Lishui Hospital, Lishui Municipal Central Hospital, Lishui, Zhejiang Province, China.
The Journal of International Medical Research
|October 31, 2022
Summary
Oesophageal rupture following pneumonectomy is a rare complication. Surgical repair is crucial, and managing subsequent fistulas requires intensive care including nutrition and drainage.
Area of Science:
- Thoracic Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Pneumonectomy, a major thoracic surgery, carries risks of rare but severe complications.
- Oesophageal rupture post-pneumonectomy presents significant management challenges due to its rarity and complexity.
Observation:
- A case report details a patient undergoing right pneumonectomy for squamous cell carcinoma.
- Post-operative observation revealed food residues in the thoracic tube, indicating a potential oesophageal rupture.
Findings:
- Intraoperative findings confirmed oesophageal rupture, which was surgically repaired with intermittent sutures.
- The patient subsequently developed an oesophageal pleural fistula, a serious post-operative complication.
Implications:
- Successful management involved anti-infection treatment, chest drainage, thoracic irrigation, nutritional support, and stent implantation.
- This case highlights surgical repair as key for oesophageal rupture and emphasizes intensive management for fistulas.
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