https://doi.org/10.4081/monaldi.2021.1815

A rare case of lung abscess due to esophageo-pulmonary fistula in asymptomatic carcinoma of esophagus

Vol. 91 No. 4 (2021)
Submitted: February 26, 2021
Accepted: April 28, 2021
Published: May 17, 2021
Lung abscess, esophageal cancer, esophageo-pulmonary fistula, self-expandable metallic stent
Abstract Views: 1374
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Authors

Soumitra Ghosh
soumitra183@gmail.com
https://orcid.org/0000-0001-6441-645X
Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh , India.
Neha Handa
https://orcid.org/0000-0002-2975-598X
Department of Nursing, Post Graduate Institute of Nursing Education and Research, Chandigarh, India.
Sudheer Tale
Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh , India.
Ashish Bhalla
Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh , India.

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

 

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Crossref
Scopus
Google Scholar
Europe PMC
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.
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