[Esophago-thoracic fistula after pneumonectomy and long-term main bronchus stump fistula].
A woman patient admitted for treatment, who had reached the age of 65 years, had a previous history of an open pulmonary tuberculosis in 1946 that had been treated at that time by means of collapsotherapy and phrenico-exeresis. Pleuropneumonectomy was performed in 1976 because of a residual cavity of a thoracic empyema. Since 1978 the patient suffered from a fistula of the bronchus treated by postural therapy without achieving a cure. In 1989 a fistula formed between oesophagus and pneumonectomy cavity. Clinically this was associated with an increasing reduction of performance and a suddenly ineffective postural drainage, resulting in triphasic and eventually fatal aspiration. Histology revealed a suppurative inflammation in the fistular channel and a slight superficial Candida colonisation of the pneumonectomy cavity, of the fistular channel and of adjacent mucous glands of the oesophagus. Formation of the fistula was probably due to a small traction diverticulum followed by perforation because of obstructed oesophageal passage due to scarified distortions.
Theegarten
D
D
Abteilung für Pathologie, Ruhr-Universität Bochum.
Klodt
M
M
Konietzko
N
N
Hartung
W
W
D000368:Aged; D001980:Bronchi / Q000473:pathology; D001983:Bronchial Fistula / Q000000981:diagnostic imaging* / Q000473:pathology; D004937:Esophageal Fistula / Q000000981:diagnostic imaging* / Q000473:pathology; D004947:Esophagus / Q000473:pathology; D005260:Female; D006801:Humans; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011859:Radiography; D013896:Thoracic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*
Osophago-thorakale Fistel bei Zustand nach Pneumonektomie und langjähriger Hauptbronchusstumpffistel.