Abstract
Gastropleural fistula (GPF) is a pathological communication between stomach and pleural cavity. GPF is described rarely in adults following bariatric surgery, iatrogenic perforations, complicated empyema thoracis, penetrating chest trauma, perforated malignant gastric ulcers, and invasive tumors. GPF in children is extremely rare. The authors describe a female child with leukemia, who presented with left-sided pneumonia and chylothorax. After a delay of around 3 wk she was diagnosed with GPF, which was due to a perforated gastric ulcer induced by high-dose steroids which she was receiving as chemotherapy. She was managed with repair of GPF and had a favorable outcome.
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Acknowledgements
The authors acknowledge the pediatric ICU team and gastroenterology department of the hospital for help in management and the father of the index child for his attentive and timely input that helped the authors in making final diagnosis.
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SK: Concept, patient care, management and manuscript writing; KC, AM, AKS, & BP: Diagnosis, management, and final manuscript drafting. SK will act as guarantor for this paper.
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Written informed consent for publication of their clinical details was obtained from the father of the patient. A copy of the consent form is available for review by the editor.
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Khera, S., Chand, K., Mishra, A. et al. Gastropleural Fistula in a Child with Acute Lymphoblastic Leukemia Due to Perforated Gastric Ulcer. Indian J Pediatr 88, 1033–1035 (2021). https://doi.org/10.1007/s12098-021-03764-y
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DOI: https://doi.org/10.1007/s12098-021-03764-y