Related Experiment Video For Endoscopy
Updated: Jun 5, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Oesophageal pulmonary fistula secondary to oesophageal carcinoma
Vrinda Mariya Elenjickal1, Keerthana Sajikumar2, Rahul Magazine2
1Respiratory Medicine, Kasturba Medical College Manipal, Manipal, India vrinda.me@manipal.edu.
Abstract:
A man in his early 60s presented with dysphagia and odynophagia. He was diagnosed with squamous cell carcinoma of the oesophagus. During his hospital stay, he developed a productive cough and experienced recurrent fever spikes. Chest radiograph revealed an abscess in the upper lobe segment of the right lung. The patient was treated with multiple antibiotics but there was no clinical-radiological improvement. Hence, CT of the thorax was performed which revealed an oesophageal pulmonary fistula. This was further confirmed by oesophagogastroduodenoscopy. We report a case of an oesophageal pulmonary fistula in a patient with oesophageal carcinoma complicated by a lung abscess, and its successful management by the placement of a self-expanding metallic stent and drainage of lung abscess via a Malecot catheter.
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