Iatrogenic gastrobronchial fistula following a thoracic spine neurosurgical procedure: report of a case.

Jeffrey J Skubic, DO, Nathaniel Eastman, MD, Jacob Wiesen, MD, Sarah Ogle, DO, Frank Sacco, MD. Banner Good Samaritan Regional Medical Center, Phoenix, AZ; Alaska native medical center, Anchorage, AK.

Gastrobronchial fistula(GBF) is a known rare complication. Most recent reports are associated with bariatric surgery as these procedures typically involve working with the stomach and diaphragm. We report a case of a 60 year-old female who presented with complaints of recurrent cough and dyspnea nine months after an elective neurosurgical procedure for chronic pain done through a lateral thoracic approach . The patient was evaluated with a computed tomography(CT) scan with oral contrast, which showed extravasation of the contrast from stomach to lung. The patient was stabilized and subsequently taken to the operating room for a laparoscopic partial gastrectomy and diaphragmatic hernia repair.

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