[Esophagobronchial and esophagomediastinal fistula, pleural and pericardial effusion due to severe pseudodiverticulosis of the esophagus].
We describe the case of a patient who came to our hospital with deterioration of his general condition (especially with loss of weight) and progressive thoracic pain with dyspnea. We diagnosed a severe pseudodiverticulosis of the esophagus with esophagobronchial as well as esophagomediastinal fistulae. Furthermore, reactive pleural and pericardial effusions were shown and Candida was detected in a blood culture. By means of antibiotic therapy and esophageal stent implantation, a significant improvement of the clinical signs was achieved. Intramural pseudodiverticulosis of the esophagus is a rare and benign condition. Multiple triggers, for example, obstruction of the ducts due to shedding of epithelial cells, mucus, and/or submucous fibrosis are possible. Clinical signs are progressive dysphagia, caused by an inflamed stenosis of the esophagus.
Schacherer
D
D
Internal Medicine I, University of Regensburg. doris.schacherer@klinik.uni-regensburg.de
Mayer
S
S
Borisch
I
I
Zorger
N
N
Kullmann
F
F
Schoelmerich
J
J
Grossmann
J
J
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001982:Bronchial Diseases / Q000175:diagnosis / Q000209:etiology; D002177:Candidiasis / Q000150:complications* / Q000175:diagnosis; D045723:Diverticulosis, Esophageal / Q000150:complications* / Q000175:diagnosis; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology*; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology*; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology*; D016156:Respiratory Tract Fistula / Q000175:diagnosis / Q000209:etiology*; D012720:Severity of Illness Index; D015607:Stents
D000900:Anti-Bacterial Agents