Esophagopleural fistula originating from diverticulum after pneumonectomy - A case report and review of the literature

Esophagopleural fistula (EPF) is a very rare and fatal disease. A 56 year-o ld man developed a pyothorax resulting from an FPF with esophageal divertic ulum after a right pneumonectomy, The patient was successfully treated with a three-stage operation and control of infection and nutritional status. F irst, fenestration was performed, then an ante-thoracic gastroplasty, and a radical thoracoplasty was performed. Surgical management, nutritional supp ort, and control of infection were the cornerstones of the treatment of EPF .