Esophago-pulmonary fistula manifesting as recurrent pneumonias and migrating mediastinal calcifications

https://doi.org/10.4081/monaldi.2017.813

Authors

  • Jadd Kebbe University of Oklahoma Health Sciences Center, United States.
  • Sai Yendamuri Roswell Park Cancer Institute, Department of Thoracic Surgery, United States.
  • Charles Roche Roswell Park Cancer Institute, Department of Radiology, United States.
  • Kassem Harris Westchester Medical Center, Section of Interventional Pulmonology, United States.
  • Samjot Singh Dhillon | samjot.dhillon@roswellpark.org Roswell Park Cancer Institute, Pulmonary Medicine, United States. http://orcid.org/0000-0003-2955-2266

Abstract

A 43-year old man presented with recurrent pneumonias, episodes of hemoptysis and an enlarging right lower lobe mass. A clear diagnosis was not previously established in spite of multiple radiological evaluations and biopsies. Meticulous review of his CT imaging showed that he had subcarinal calcification on his prior CT scans, which had decreased in size and now multiple new small areas of calcifications were seen in the right lower lobe lesion. An esophago-pulmonary fistula due to migration of mediastinal calcifications was suspected which was identified on careful review of the CT chest and confirmed by esophagogastroduodenoscopy. Patient had surgical repair with complete recovery.

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Published
2017-05-18
Info
Issue
Section
Pneumology - Case Reports
Keywords:
Esophago-pulmonary fistula, broncholith, mediastinal calcification, pneumonia, hemoptysis.
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How to Cite
Kebbe, Jadd, Sai Yendamuri, Charles Roche, Kassem Harris, and Samjot Singh Dhillon. 2017. “Esophago-Pulmonary Fistula Manifesting As Recurrent Pneumonias and Migrating Mediastinal Calcifications”. Monaldi Archives for Chest Disease 87 (1). https://doi.org/10.4081/monaldi.2017.813.