Gastro-pleural fistula following Sleeve gastrectomy for GIST of stomach - A Case report

Gastro-pleural fistula is an uncommon complication following a number of conditions like prior pulmonary surgery, trauma, or malignancy. We report a case of gastro-pleural fistula following sleeve gastrectomy for GIST stomach. The patient developed a collection in the left pleural cavity communicating with the stomach. He underwent resection of the fistula site on the stomach remnant, small bowel resection and anastomosis along with left lower lobe pneumonectomy.He had an uneventful recovery. Histopathology of the resected lung showed evidence of tuberculosis and patient was started on anti tuberculous therapy.