case_images: PMC7683165_01
case_images: (a) Dominant ulceration along the greater curvature. (b) Image within ulceration revealing fistula opening leading to pleural space marked by the asterisk.
case_images: CRIGM2020-8833110.001.jpg
case_images: PMC7683165_01_CRIGM2020-8833110.001.jpg
case_images: fig1
case_images: At the base of this ulcer appeared an external communication with a questionable fistula (Figure 1).
case_images: The arrow in (a) and (b) demonstrate a catheter passing from the stomach into the pleural cavity consistent with gastropleural fistula.
case_images: CRIGM2020-8833110.002.jpg
case_images: PMC7683165_01_CRIGM2020-8833110.002.jpg
case_images: fig2
case_images: Subsequent insertion of the gastric tube after endoscopy was completed, and follow-up CT imaging (Figure 2) showed right-sided gastric pull-through with a concerning fistulous tract connecting to the underlying lung parenchyma, as the distal tip of the gastric feeding tube terminated within a focal air lucency within the lung parenchyma.