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Gastric fistula secondary to drainage tube penetration: A report of a rare case

  • Authors:
    • Hui‑Jiang Shao
    • Bao‑Chun Lu
    • Huan‑Jian Xu
    • Xin‑Xian Ruan
    • Jing‑Song Yin
    • Zhi‑Hong Shen

  • View Affiliations

  • Published online on: February 8, 2016     https://doi.org/10.3892/ol.2016.4201
  • Pages: 2176-2178
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Abstract

Cases of gastric fistula secondary to drainage tube penetration have rarely been reported. The current study presents a case of gastric penetration caused by misplacement of a drainage tube after a splenectomy. The patient was admitted to the Department of Hepatobiliary Surgery, (Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, Shaoxing, Zhejiang, China) for blunt abdominal trauma due to injuries sustained in an automobile accident. A ruptured spleen was found and successfully removed surgically. On post‑operative day 7, the patient complained of slight discomfort and tenderness in the left upper quadrant of the abdomen. In addition, 500 ml of bile‑colored fluid with small food particles was noted in the drainage tube. Barium X‑ray revealed a gastric fistula in the upper gastrointestinal tract. Gastroscopy indicated infiltration of the drainage tube into the gastric cavity. No significant peritoneal effusion was observed, as revealed by abdominal ultrasound examination. These results confirmed the diagnosis of a gastric fistula secondary to perforation by the drainage tube. Following conservative treatment with antibiotics and total parenteral nutrition, the general condition of the patient improved significantly. The drainage tube was withdrawn progressively, as the amount of fluid being discharged was decreasing. Gastroenterography confirmed perforation closure and the tube was finally removed on post-operative day 44.
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March-2016
Volume 11 Issue 3

Print ISSN: 1792-1074
Online ISSN:1792-1082

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  • Source Normalized Impact per Paper (SNIP): 0.725
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Spandidos Publications style
Shao HJ, Lu BC, Xu HJ, Ruan XX, Yin JS and Shen ZH: Gastric fistula secondary to drainage tube penetration: A report of a rare case. Oncol Lett 11: 2176-2178, 2016
APA
Shao, H., Lu, B., Xu, H., Ruan, X., Yin, J., & Shen, Z. (2016). Gastric fistula secondary to drainage tube penetration: A report of a rare case. Oncology Letters, 11, 2176-2178. https://doi.org/10.3892/ol.2016.4201
MLA
Shao, H., Lu, B., Xu, H., Ruan, X., Yin, J., Shen, Z."Gastric fistula secondary to drainage tube penetration: A report of a rare case". Oncology Letters 11.3 (2016): 2176-2178.
Chicago
Shao, H., Lu, B., Xu, H., Ruan, X., Yin, J., Shen, Z."Gastric fistula secondary to drainage tube penetration: A report of a rare case". Oncology Letters 11, no. 3 (2016): 2176-2178. https://doi.org/10.3892/ol.2016.4201