Abstract
We report a case of recurrent chest wall abscesses overlying a right thoracotomy scar four years after a pneumonectomy for a right middle lobe bronchus squamous cell carcinoma. Exploration of the abscess cavities revealed no intra-thoracic or intra-abdominal communication. The patient developed sinuses in his thoracotomy scar and two years later, two gallstones were expelled from these sinuses. A cholecystocutaneous fistula was confirmed on a fistulogram.
2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
MeSH terms
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Abdominal Pain / diagnosis
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Abdominal Pain / etiology
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Abscess / diagnosis*
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Abscess / therapy
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Aged, 80 and over
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Biliary Fistula / diagnosis*
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Biliary Fistula / surgery
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Carcinoma, Squamous Cell / pathology
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Carcinoma, Squamous Cell / surgery
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Cicatrix / etiology
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Cicatrix / pathology*
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Cutaneous Fistula / diagnosis*
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Cutaneous Fistula / surgery
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Diagnosis, Differential
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Follow-Up Studies
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Gallstones / complications
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Gallstones / diagnosis
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Gallstones / surgery
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Humans
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Lung Neoplasms / pathology
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Lung Neoplasms / surgery
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Male
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Pneumonectomy / adverse effects*
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Pneumonectomy / methods
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Recurrence
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Risk Assessment
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Streptococcal Infections / diagnosis*
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Streptococcal Infections / therapy
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Thoracic Wall
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Treatment Outcome