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

## Authors

- Narindra Njarasoa Mihaja Razafimanjato ([ORCID](https://orcid.org/0000-0002-6534-351X)) — Teaching Hospital of Joseph Ravoahangy Andrianavalona, Department of Surgery Division of Thoracic Surgery. Faculty of Medecine, University of Antananarivo. Madagascar
- Odilon Guillaume Tsiambanizafy ([ORCID](https://orcid.org/0000-0003-3338-6395)) — Teaching Hospital of Joseph Ravoahangy Andrianavalona, Department of Surgery Division of Thoracic Surgery. Faculty of Medecine, University of Antananarivo. Madagascar
- Tsiry Dama Ntsoa Ravelomihary ([ORCID](https://orcid.org/0000-0002-6967-9360)) — Teaching Hospital of Joseph Ravoahangy Andrianavalona, Department of Surgery Division of Thoracic Surgery. Faculty of Medecine, University of Antananarivo. Madagascar
- Manjakaniaina Ravoatrarilandy — Teaching Hospital of Joseph Ravoahangy Andrianavalona, Department of Surgery Division of Thoracic Surgery. Faculty of Medecine, University of Antananarivo. Madagascar
- Auberlin Felantsoa Rakototitana — Teaching Hospital of Joseph Ravoahangy Andrianavalona, Department of Surgery Division of Urology and visceral Surgery. Faculty of Medecine, University of Antananarivo. Madagascar
- Hanitrala Jean Louis Rakotovao ([ORCID](https://orcid.org/0000-0003-4066-4939)) — Teaching Hospital of Joseph Ravoahangy Andrianavalona, Department of Surgery Division of Thoracic Surgery. Faculty of Medecine, University of Antananarivo. Madagascar

## Article information

- **Journal:** The Ulutas Medical Journal (Ulutas Med J), ISSN 2149-388X
- **Issue:** Volume 6, Issue 2 (2020), pages 80–86
- **Article type:** Case Report
- **Published online:** 2020-06-19
- **DOI:** [10.5455/umj.20200422034809](https://doi.org/10.5455/umj.20200422034809)
- **Licence:** [CC BY-NC 4.0](https://creativecommons.org/licenses/by-nc/4.0/)
- **Article page:** https://www.ulutasmedicaljournal.com/?mno=101247
- **PDF:** https://www.ulutasmedicaljournal.com/pdf/101247.pdf

## 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.

## Keywords

Fistula; diaphragm; fecopneumothorax; pleurocutaneous fistula; intestinal perforation; Sister Leena's sign; thoracostomy; traumatic diaphragmatic hernia

## How to cite

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

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