title: Esophageal carcinoma presenting with pyopneumothorax: a case study.
abstract: We describe a 69-year-old male who presented with high fever, progressive right chest pain and shortness of breath. A chest radiograph showed a right massive hydropneumothorax. After diagnostic assessment, an esophagomediastinal fistula complicated by squamous cell carcinoma of the esophagus was subsequently confirmed. Clinical signs were significantly improved by chest tube insertion, antibiotic therapy and esophageal stent implantation.
authors.affiliation: Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
authors.forename: Chih-Hong
authors.initials: CH
authors.lastname: Kao
authors.forename: Ti-Hei
authors.initials: TH
authors.lastname: Wu
authors.forename: Tsai-Wang
authors.initials: TW
authors.lastname: Huang
authors.forename: Shih-Chun
authors.initials: SC
authors.lastname: Lee
authors.forename: Yeung-Leung
authors.initials: YL
authors.lastname: Cheng
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000000981:diagnostic imaging*; D004937:Esophageal Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D004938:Esophageal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D006872:Hydropneumothorax / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D008482:Mediastinum; D013902:Radiography, Thoracic; D015607:Stents