The Teaching Point

Gastro-pleural fistula can occur as a complication following difficult fundoplication. Radiographs can have features of radiolucencies or air fluid level in the chest. In the setting of a previously repaired congenital diaphragmatic hernia, these imaging features can mimic recurrence of diaphragmatic hernia.






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From the manuscript

A leak too far - Gastro-pleural fistula mimicking recurrence of repaired congenital diaphragmatic hernia following fundoplication

Free full text article: A leak too far - Gastro-pleural fistula mimicking recurrence of repaired congenital diaphragmatic hernia following fundoplication

Abstract
Recurrence rate after a congenital diaphragmatic hernia repair is high especially after a patch repair. Recurrence can be asymptomatic, followed by respiratory or gastrointestinal symptoms and the diagnosis is usually confirmed radiologically. We present an unusual case of radiologically diagnosed recurrent left diaphragmatic hernia but at surgery was found to be a gastro-pleural fistula that occurred as a complication following fundoplication surgery.






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