[Esophageal-pulmonary fistula in a patient with squamous cell carcinoma of the esophagus].
Acquired eso-respiratory fistulae are usually consecutive to an eso-tracheal or an eso-bronchial fistula. Esophago-pulmonary fistulae have been rarely described. We report a case of esophago-pulmonary fistula in a patient with esophageal carcinoma. Our patient presented progressive necrotizing pneumonia. CT scan of the thorax demonstrated necrosis of the esophagal wall and communication between the esophagus and the lung parenchyma. Furthermore, the biochemical analysis of the lung abcess fluid revealed a high level of amylase. Outcome was poor despite drainage of the lung abcess and insertion of an esophageal stent. Based on this case, we reviewed the cases of esophago-pulmonary fistulae described in the literature.
Leguen
Y
Y
Service de Pneumologie et Réanimation respiratoire, Hôpital Beaujon, 100, bd du Général-Leclerc 92118 Clichy.
Stern
J B
JB
Sauvanet
A
A
Mal
F
F
Reffas
T
T
Fournier
M
M
Mal
H
H
D000681:Amylases / Q000032:analysis; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000473:pathology; D004937:Esophageal Fistula / Q000209:etiology* / Q000473:pathology; D004938:Esophageal Neoplasms / Q000150:complications* / Q000473:pathology; D006801:Humans; D008169:Lung Abscess / Q000201:enzymology / Q000473:pathology; D008171:Lung Diseases / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011014:Pneumonia / Q000209:etiology; D016156:Respiratory Tract Fistula / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed
D000681:Amylases