Tung Jamie T, Lucero Leah M, Davis James W, Sue Lawrence P
UCSF Fresno Department of Surgery, Community Regional Medical Center, 2823 Fresno Street, Fresno, CA 93721, USA.
Case Rep Surg. 2020 Mar 15;2020:8085425. doi: 10.1155/2020/8085425. eCollection 2020.
Gastrobronchial fistulas are a rare occurrence in the literature. We report a case of a gastrobronchial fistula after robotic repair of a chronic traumatic diaphragmatic hernia. The patient had severe respiratory symptoms with multiple studies that were inconclusive. The fistula was ultimately discovered after an esophagogastroduodenoscopy (EGD). The patient underwent a left thoracotomy for takedown of his fistula and eventually recovered. Earlier EGD and a lower threshold for differential that included this diagnosis would have led to an earlier identification and treatment of a rare disease process.
胃支气管瘘在文献中较为罕见。我们报告一例慢性创伤性膈疝机器人修复术后发生胃支气管瘘的病例。该患者有严重的呼吸道症状，多项检查结果均不明确。最终在食管胃十二指肠镜检查（EGD）后发现了瘘管。患者接受了左胸切开术以切除瘘管，最终康复。更早进行EGD检查以及对包括该诊断在内的鉴别诊断设定更低的阈值，本可更早地识别和治疗这一罕见的疾病过程。
