Unusual cause of hemoptysis. Hickman-induced cava-bronchial fistula.
A 56-year-old man with metastatic prostatic carcinoma underwent placement of a Hickman catheter. Approximately two months after the procedure, he was admitted to the hospital with hemoptysis and in respiratory distress. A contrast computed tomographic (CT) scan confirmed the diagnosis of a cava-bronchial fistula. The fistula was surgically repaired, and the patient made a satisfactory recovery.
Winkler
T R
TR
Department of Thoracic Surgery, Marshfield Clinic, Wis.
Hanlin
R J
RJ
Hinke
T D
TD
Clouse
L H
LH
Kryda
M J
MJ
Hathaway
B N
BN
D001983:Bronchial Fistula / Q000175:diagnosis / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D005402:Fistula / Q000175:diagnosis / Q000209:etiology*; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014652:Vascular Diseases / Q000175:diagnosis / Q000209:etiology; D014683:Vena Cava, Superior