Gastropleural Fistula: Two Cases Highlighting Varied Manifestations and Management Strategies

Abstract

Gastropleural fistula (GPF) is an uncommon medical disorder characterised by an improper connection between the stomach and the pleural cavity, resulting in the presence of hydropneumothorax. The reasons for this condition can be attributed to trauma, cancer, ulcers. The symptoms encompass abdomen and chest pain, enduring discharge, and the presence of food particles in fluids. Radiological examinations facilitate the process of diagnosing medical conditions. This study showcases instances of GPF resulting from trauma and malignancy, intending to emphasise its varied presentations. The cases were examined for their clinical manifestations, radiographic observations, and approaches to treatment. The results exhibited diverse symptoms, accompanied by consistent radiological indications. Timely diagnosis and action resulted in favourable outcomes. Timely identification of GPF is crucial to avoid any consequences. This study highlights the importance of keeping a high level of suspicion for GPF (gastric perforation) in patients who are at risk, to enhance outcomes and decrease the occurrence of complications and death.