RESUMO
A 41-year-old male smoker presented with choking and coughing up food associated with repeated vomiting. Four years previously, following recurrent episodes of pancreatitis, he required percutaneous necrosectomy. He subsequently had a cholecystectomy and mesh repair of the abdominal wall, and later developed multiple problems including a gastrobronchial fistula. Computed tomography revealed a fistulous connection for which he had a combined procedure. Through a thoracolaparotomy approach, the left lower lobe and fistulous connection were removed along with the surrounding diaphragm and the associated fundus of the stomach. The diaphragm defect was repaired without mesh.
Assuntos
Fístula Brônquica/cirurgia , Gastrectomia/métodos , Fístula Gástrica/cirurgia , Pancreatite/complicações , Toracotomia , Adulto , Biópsia , Fístula Brônquica/diagnóstico , Fístula Brônquica/etiologia , Diafragma/cirurgia , Fístula Gástrica/diagnóstico , Fístula Gástrica/etiologia , Humanos , Masculino , Pancreatite/diagnóstico , Pancreatite/cirurgia , Recidiva , Reoperação , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
We report a rare occurrence of a large primary nonfunctioning paraganglioma of the thoracic spine in a 76-year-old man who underwent successful multimodality treatment by preoperative angiographic embolization and debulking through a lateral transthoracic surgical approach.
