Cough in a patient with an infusion port.
In this case report, we describe a patient with a history of fallopian tube adenocarcinoma who had an infusion port in place for the past 4 years. During the course of her stay in the hospital for pneumonia, she developed a cough that became worse with the infusion of fluids through the port. A portogram done to investigate this problem revealed the presence of a portobronchial fistula. This is the first reported case of a portobronchial fistula. Various possibilities to explain the formation of portobronchial fistula are discussed.
Wong
C
C
Department of Internal Medicine, Lutheran Medical Center, Brooklyn, NY, USA.
Joshi
N
N
Nachimuthu
S
S
Vaka
G
G
Bakoss
J
J
D000230:Adenocarcinoma / Q000188:drug therapy; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D001983:Bronchial Fistula / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003371:Cough / Q000209:etiology*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology; D005185:Fallopian Tube Neoplasms / Q000188:drug therapy; D005260:Female; D006801:Humans; D015918:Infusion Pumps, Implantable / Q000009:adverse effects*; D008875:Middle Aged; D011014:Pneumonia / Q000209:etiology