title: Multifactorial dysphagia complicated by esophago-bronchial fistula.
abstract: Dysphagia in an elderly patient necessitates urgent clinical evaluation to exclude the possibility of an underlying esophageal malignancy. Atherosclerotic aortic aneurysms are common in old age, but dysphagia aortica resulting from compression of the esophagus by an aortic aneurysm is a rare cause for dysphagia. Development of a malignant esophago-airway fistula can occur from a variety of tumors, the most common of which is esophageal cancer. A case of longstanding dysphagia resulting from dysphagia aortica later developing an esophageal malignancy complicated by esophago-bronchial fistula is outlined in this unique case report.
authors.affiliation: Department of Medicine, Kottayam Medical College, Kerala, India.
authors.forename: Julie
authors.initials: J
authors.lastname: Sebastian
authors.forename: V S
authors.initials: VS
authors.lastname: Kirankumar
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Pappachan
authors.forename: Sue Ann
authors.initials: SA
authors.lastname: Zachariah
authors.forename: T R
authors.initials: TR
authors.lastname: Radha
authors.forename: P
authors.initials: P
authors.lastname: Sujathan
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D001983:Bronchial Fistula / Q000150:complications*; D003680:Deglutition Disorders / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D004937:Esophageal Fistula / Q000150:complications*; D004938:Esophageal Neoplasms / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D011859:Radiography