https://doi.org/10.4081/monaldi.2021.1815
A rare case of lung abscess due to esophageo-pulmonary fistula in asymptomatic carcinoma of esophagus
Submitted: February 26, 2021
Accepted: April 28, 2021
Published: May 17, 2021
Accepted: April 28, 2021
Abstract Views: 1374
PDF: 627
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Acquired esophago-respiratory fistulae are usually esophago-tracheal or esophago-bronchial. Esophago-pulmonary fistulae are rare. Most patients present with cardinal symptoms of esophageal carcinoma or esophago-pulmonary fistula leading to early diagnosis. We report a 56-year-old female with an unusual presentation. She presented with high grade fever with chills and rigor, cough with mucopurulent expectoration and shortness of breath for 15 days without dysphagia, nausea, vomiting or chest pain. Clinically and radiologically a diagnosis of lung abscess was entertained and she was treated with multiple antibiotics without any improvement. Contrast Enhanced Computed Tomography (CECT) chest revealed esophageal malignancy with esophageal-pulmonary fistula communicating with abscess cavity. Patient responded to palliation with self-expandable esophageal stent and drainage of abscess. Although rare, asymptomatic malignant esophageal disease should be considered in the differential diagnosis of lung abscess, which does not follow a usual course.
Keywords: Lung abscess, Esophageal cancer, Esophageo-pulmonary fistula, Self expandable metallic stent
Duranceau A, Jamieson GG. Malignant tracheoesophageal fistula. Ann Thorac Surg 1984;37:346–4.
DOI: https://doi.org/10.1016/S0003-4975(10)60745-X
Leguen Y, Stern JB, Sauvanet A, et al. Esophageal pulmonary fistula in squamous cell carcinoma of the esophagus. Rev Mal Respir 2000;17:965–8.
Satija L, Joshi P, George R, et al. An unusual case of malignant oesophago-pulmonary fistula diagnosed by multidetector computed tomography. Med J Armed Forces India 2012;68:72-4.
DOI: https://doi.org/10.1016/S0377-1237(11)60108-1
Kim KR, Shin JH, Song HY, et al. Palliative treatment of malignant esophagopulmonary fistulas with covered expandable metallic stents. AJR Am J Roentgenol 2009;193:278-2.
DOI: https://doi.org/10.2214/AJR.08.2176
Francis PB, Goldstein J. Asymptomatic esophageal carcinoma with esophagopulmonary fistula masquerading as a primary lung abscess. South Med J 1979;72:75–7.
DOI: https://doi.org/10.1097/00007611-197901000-00021
Fitzgerald RH, Jr, Bartels DM, Parker EF. Tracheoesophageal fistulas secondary to carcinoma of the esophagus. J Thorac Cardiovasc Surg 1981;82:194–7.
DOI: https://doi.org/10.1016/S0022-5223(19)39354-7
Martin-Harris B, Jones B. The videofluorographic swallowing study. Phys Med Rehabil Clin N Am 2008;19:769–85.
DOI: https://doi.org/10.1016/j.pmr.2008.06.004
Shin JH, Song HY, Ko GY, et al. Esophagorespiratory fistula: long-term results of palliative treatment with covered expandable metallic stents in 61 patients. Radiology 2004; 232:252–9.
DOI: https://doi.org/10.1148/radiol.2321030733
Sebastian J, Kirankumar VS, Pappachan JM, et al. Multifactorial dysphagia complicated by esophagobronchial fistula. J Cancer Res Ther 2007;3:108.
DOI: https://doi.org/10.4103/0973-1482.34691
Kato H, Tachimori Y,Watanabe H, Itabashi M. Surgical treatment of thoracic esophageal carcinoma directly invading the lung. Cancer 1992;70:1457–1.
DOI: https://doi.org/10.1002/1097-0142(19920915)70:6<1457::AID-CNCR2820700602>3.0.CO;2-3
Davydov M, Stilidi I, Bokhyan V, Arzykulov G. Surgical treatment of esophageal carcinoma complicated by fistulas. Eur J Cardiothorac Surg 2001;20:405–8.
DOI: https://doi.org/10.1016/S1010-7940(01)00796-5
Rehders A, Baseras B, Telan L, et al. Malignant esophagopulmonary fistula. Thor Cancer 2014;5 468-471.
DOI: https://doi.org/10.1111/1759-7714.12118
How to Cite
Ghosh, Soumitra, Neha Handa, Sudheer Tale, and Ashish Bhalla. 2021. “A Rare Case of Lung Abscess Due to Esophageo-Pulmonary Fistula in Asymptomatic Carcinoma of Esophagus”. Monaldi Archives for Chest Disease 91 (4). https://doi.org/10.4081/monaldi.2021.1815.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Pankti Sheth Ketan, Rohit Kumar, Mahendran AJ, Pranav Ish, Shibdas Chakrabarti, Neeraj Kumar Gupta, Nitesh Gupta, Post-extubation high-flow nasal cannula oxygen therapy versus non-invasive ventilation in chronic obstructive pulmonary disease with hypercapnic respiratory failure , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- Vipul Prakash, Arjun Kumar, Lokesh Kumar Saini, Barun Kumar, Girish Sindhwani, Prakhar Sharma, Ruchi Dua, Ravi Gupta, Mayank Mishra, Proportion of sleep-related breathing disorders and their association with echocardiographic parameters in stable patients with chronic obstructive pulmonary disease: a cross-sectional observational exploratory study , Monaldi Archives for Chest Disease: Early Access
- Emanuela Barisione, Giovanni A. Rossi, Mario Salio, Gradually worsening dyspnea and dry cough in an elderly patient , Monaldi Archives for Chest Disease: Vol. 87 No. 2 (2017)
- Vasiliki Epameinondas Georgakopoulou, Nikolaos Garmpis, Dimitrios Mermigkis, Christos Damaskos, Serafeim Chlapoutakis, Konstantinos Mantzouranis, Aikaterini Gkoufa, Chrysovalantis Papageorgiou, Anna Garmpi, Sotiria Makrodimitri, Evangelos Diamantis, Pagona Sklapani, Nikolaos Trakas, Xanthi Tsiafaki, Pulmonary adverse events due to immune checkpoint inhibitors: A literature review , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- C.A. Lindemans, R.A. Bruinsma, P.G.J. Nikkels, F.H.L. Bröker, H.G.M. Arets, Pulmonary consolidation and inflammation: inflammatory pseudotumour in young children , Monaldi Archives for Chest Disease: Vol. 71 No. 2 (2009): Pulmonary series
- M. Gharagozlou, F.A. Ebrahimi, A. Farhoudi, A. Aghamohammadi, M.-H. Bemanian, Z. Chavoshzadeh, M. Heidarzadeh, M. Mehdizadeh, M. Moin, M. Movahedi, M. Nabavi, Z. Pourpak, N. Rezaei, Pulmonary complications in primary hypogammaglobulinemia: a survey by high resolution CT scan , Monaldi Archives for Chest Disease: Vol. 65 No. 2 (2006): Pulmonary series
- S.S. Dhillon, I.G. Berim, N. Khushalani, J. Gannon, Detection of a possible case of Pulmonary Tumour Thromboembolism by endobronchial ultrasound , Monaldi Archives for Chest Disease: Vol. 77 No. 1 (2012): Pulmonary series
- Ankur Gupta, Kranti Garg, Vishal Chopra, Surinder Pal Singh, Assessment of health status and its correlation with lung function in patients with chronic obstructive pulmonary disease: a study from a tertiary care center in north India , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Yash Kedia, Manu Madan, Rajnish Kaushik, Rohit Kumar, AJ Mahendran, Pranav Ish, Neeraj Gupta, Tanmaya Talukdar, Nitesh Gupta, Thoracoscopic blood patch instillation for persistent air leak in pneumothorax: a case series and systematic review , Monaldi Archives for Chest Disease: Early Access
- E. Nardecchia, L. Perfetti, M. Castiglioni, D. Di Natale, A. Imperatori, N. Rotolo, Bullous lung disease and neurofibromatosis type-1 , Monaldi Archives for Chest Disease: Vol. 77 No. 2 (2012): Pulmonary series
<< < 10 11 12 13 14 15 16 17 18 19 > >>
You may also start an advanced similarity search for this article.
