Broncho-mediastinal fistula following perforation of the oesophagus.
We present a 63-year old female with mediastinitis following an esophageal perforation, possibly favoured by an oesophageal motility-disorder and the use of non-steroidal anti-inflammatory drugs, who developed a broncho-mediastinal fistula in the left main bronchus. She was successfully treated with intravenous antibiotics, a cervical oesophagostomy and secondary isoperistaltic coloplasty.
Meysman
M
M
Department of Internal Medicine, Academic Hospital University of Brussels, Belgium.
Noppen
M
M
Delvaux
G
G
Peters
O
O
Vincken
W
W
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects* / Q000627:therapeutic use; D001983:Bronchial Fistula / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D003131:Combined Modality Therapy; D018572:Disease-Free Survival; D015154:Esophageal Motility Disorders / Q000175:diagnosis / Q000188:drug therapy; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004945:Esophagoscopy; D004946:Esophagostomy; D005260:Female; D006801:Humans; D008477:Mediastinal Diseases / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D008480:Mediastinitis / Q000209:etiology; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal