Gastropleural fistula

Discussion:

Gastropleural fistula is a rare abnormal communication between the stomach and the pleural sac through the diaphragm. In this case; the underlying etiology was the previous sleeve gastrectomy that was complicated by the presence of a defect in the gastric wall. It is suggested that this defect led to the slow flow of the gastric acids that eroded the diaphragm and resulted in the formation of lung abscess.

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