Erosion of the right mainstem bronchus by an esophageal stent.
Self-expanding metallic stents (SEMSs) are used to palliate malignant esophageal strictures. We describe a patient who had an extensive mediastinal tumor for which he was receiving irradiation therapy; chest pain, hemoptysis, and recurrent Gram-negative pneumonia developed in this patient after stent placement. Fiberoptic bronchoscopy revealed protrusion of the SEMS into the tracheobronchial tree, a novel complication for this new type of stent.
Hendra
K P
KP
Pulmonary Center, Boston University School of Medicine, MA, USA.
Saukkonen
J J
JJ
D000368:Aged; D001980:Bronchi; D001984:Bronchial Neoplasms / Q000150:complications; D002294:Carcinoma, Squamous Cell / Q000150:complications; D004938:Esophageal Neoplasms / Q000150:complications; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy*; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D015607:Stents / Q000009:adverse effects*