title: Hodgkin's disease presenting with a bronchoesophageal fistula.
abstract: Bronchoesophageal fistula is a rare complication of Hodgkin's disease. We report a case of Hodgkin's disease presenting with a bronchoesophageal fistula that was successfully treated with bipolar esophageal exclusion and substernal gastric bypass. Direct invasion from mediastinal lymph nodes was the probable cause. Although bronchoesophageal fistula can result as a complication during the course of treatment for Hodgkin's disease, it rarely occurs as the presenting feature. Early recognition and surgical treatment are key aspects of management.
authors.affiliation: Department of Surgery, University of Pittsburgh School of Medicine, Pennsylvania, USA.
authors.forename: E S
authors.initials: ES
authors.lastname: Kassis
authors.forename: C P
authors.initials: CP
authors.lastname: Belani
authors.forename: P F
authors.initials: PF
authors.lastname: Ferson
authors.forename: R J
authors.initials: RJ
authors.lastname: Keenan
authors.forename: J D
authors.initials: JD
authors.lastname: Luketich
mesh_terms: D000368:Aged; D001982:Bronchial Diseases / Q000209:etiology* / Q000601:surgery; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006689:Hodgkin Disease / Q000150:complications*; D006801:Humans; D008297:Male