Hodgkin's disease presenting with a bronchoesophageal fistula.
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.
Kassis
E S
ES
Department of Surgery, University of Pittsburgh School of Medicine, Pennsylvania, USA.
Belani
C P
CP
Ferson
P F
PF
Keenan
R J
RJ
Luketich
J D
JD
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