E-ISSN 2149-388X | ISSN 2149-0430
 

Case Report 


Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord

Narindra Njarasoa Mihaja Razafimanjato, Odilon Guillaume Tsiambanizafy, Tsiry Dama Ntsoa Ravelomihary, Manjakaniaina Ravoatrarilandy, Auberlin Felantsoa Rakototitana, Hanitrala Jean Louis Rakotovao.

Abstract
Introduction: Our case highlights an extremely rare colopleural fistula in the setting of post-traumatic diaphragmatic hernia following penetrating wound thoracic of zebu gord with delayed presentation, suspected clinic-radiologically and confirmed on surgery.
Case presentation: A 60-year old moribund male with three months history of open-chest penetrating due to zebu gord, came to the emergency department with a clinical presentation of sepsis syndrome and a deterioration of the general status. On examination, the patient cachectic presented a fecopurulent liquid drainage from an orifice in the anterolateral region of left hemithorax with necrotizing fasciitis. A chest X-ray showed uncompressing hydropneumothorax in the left pleural cavity.
Conclusion: The patient we report had the most serious complications of post-traumatic diaphragmatic hernia, fecopneumothorax, pleurocutaneous fistula, and necrotizing fasciitis. An emergency laparotomy was carried out. The problem was successfully treated by colon resection anastomosis, pleurectomy, and negative pressure therapy.

Key words: Fistula, diaphragm, fecopneumothorax, pleurocutaneous fistula, intestinal perforation, Sister Leena's sign, thoracostomy, traumatic diaphragmatic hernia


 
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How to Cite this Article
Pubmed Style

Razafimanjato NNM, Tsiambanizafy OG, Ravelomihary TDN, Ravoatrarilandy M, Rakototitana AF, Rakotovao HJL. Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord. Ulutas Med J. 2020; 6(2): 80-86. doi:10.5455/umj.20200422034809


Web Style

Razafimanjato NNM, Tsiambanizafy OG, Ravelomihary TDN, Ravoatrarilandy M, Rakototitana AF, Rakotovao HJL. Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord. http://www.ulutasmedicaljournal.com/?mno=101247 [Access: July 09, 2020]. doi:10.5455/umj.20200422034809


AMA (American Medical Association) Style

Razafimanjato NNM, Tsiambanizafy OG, Ravelomihary TDN, Ravoatrarilandy M, Rakototitana AF, Rakotovao HJL. Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord. Ulutas Med J. 2020; 6(2): 80-86. doi:10.5455/umj.20200422034809



Vancouver/ICMJE Style

Razafimanjato NNM, Tsiambanizafy OG, Ravelomihary TDN, Ravoatrarilandy M, Rakototitana AF, Rakotovao HJL. Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord. Ulutas Med J. (2020), [cited July 09, 2020]; 6(2): 80-86. doi:10.5455/umj.20200422034809



Harvard Style

Razafimanjato, N. N. M., Tsiambanizafy, . O. G., Ravelomihary, . T. D. N., Ravoatrarilandy, . M., Rakototitana, . A. F. & Rakotovao, . H. J. L. (2020) Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord. Ulutas Med J, 6 (2), 80-86. doi:10.5455/umj.20200422034809



Turabian Style

Razafimanjato, Narindra Njarasoa Mihaja, Odilon Guillaume Tsiambanizafy, Tsiry Dama Ntsoa Ravelomihary, Manjakaniaina Ravoatrarilandy, Auberlin Felantsoa Rakototitana, and Hanitrala Jean Louis Rakotovao. 2020. Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord. THE ULUTAS MEDICAL JOURNAL, 6 (2), 80-86. doi:10.5455/umj.20200422034809



Chicago Style

Razafimanjato, Narindra Njarasoa Mihaja, Odilon Guillaume Tsiambanizafy, Tsiry Dama Ntsoa Ravelomihary, Manjakaniaina Ravoatrarilandy, Auberlin Felantsoa Rakototitana, and Hanitrala Jean Louis Rakotovao. "Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord." THE ULUTAS MEDICAL JOURNAL 6 (2020), 80-86. doi:10.5455/umj.20200422034809



MLA (The Modern Language Association) Style

Razafimanjato, Narindra Njarasoa Mihaja, Odilon Guillaume Tsiambanizafy, Tsiry Dama Ntsoa Ravelomihary, Manjakaniaina Ravoatrarilandy, Auberlin Felantsoa Rakototitana, and Hanitrala Jean Louis Rakotovao. "Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord." THE ULUTAS MEDICAL JOURNAL 6.2 (2020), 80-86. Print. doi:10.5455/umj.20200422034809



APA (American Psychological Association) Style

Razafimanjato, N. N. M., Tsiambanizafy, . O. G., Ravelomihary, . T. D. N., Ravoatrarilandy, . M., Rakototitana, . A. F. & Rakotovao, . H. J. L. (2020) Pleurocutaneous Fistulas of Fecopneumothorax: Unusual Complications of Penetrating Thoracic Trauma Due to Zebu Gord. THE ULUTAS MEDICAL JOURNAL, 6 (2), 80-86. doi:10.5455/umj.20200422034809