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

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.