Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report

BACKGROUND: Intermediate bronchial fistula formation caused by mediastinal drainage tube compression and fungal infection is rare. CASE PRESENTATION: A 50-year-old male patient with type 2 diabetes was observed air filling in mediastinal drainage tube, 12 days after esophagectomy for esophageal squa...

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Autores principales: Li, Yahua, Ren, Kewei, Ye, Liqun, Ren, Jianzhuang, Han, Xinwei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836398/
https://www.ncbi.nlm.nih.gov/pubmed/31699118
http://dx.doi.org/10.1186/s13019-019-1020-x
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author Li, Yahua
Ren, Kewei
Ye, Liqun
Ren, Jianzhuang
Han, Xinwei
author_facet Li, Yahua
Ren, Kewei
Ye, Liqun
Ren, Jianzhuang
Han, Xinwei
author_sort Li, Yahua
collection PubMed
description BACKGROUND: Intermediate bronchial fistula formation caused by mediastinal drainage tube compression and fungal infection is rare. CASE PRESENTATION: A 50-year-old male patient with type 2 diabetes was observed air filling in mediastinal drainage tube, 12 days after esophagectomy for esophageal squamous carcinoma. Based on the results of computed tomography, bronchoscopy and pathology, the diagnosis of intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection was made. Anti-fungal drug and temporary covered metallic stent was used. After stent removed, the fistula was healed with some granulation hyperplasia. He was free from respiratory symptom during 1 year follow-up. CONCLUSION: Intermediate bronchial fistula caused by the combination of mediastinal drainage tube compression and fungal infection is rare. Timely stenting could boost the healing of fistula via granulation tissue proliferation.
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spelling pubmed-68363982019-11-08 Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report Li, Yahua Ren, Kewei Ye, Liqun Ren, Jianzhuang Han, Xinwei J Cardiothorac Surg Case Report BACKGROUND: Intermediate bronchial fistula formation caused by mediastinal drainage tube compression and fungal infection is rare. CASE PRESENTATION: A 50-year-old male patient with type 2 diabetes was observed air filling in mediastinal drainage tube, 12 days after esophagectomy for esophageal squamous carcinoma. Based on the results of computed tomography, bronchoscopy and pathology, the diagnosis of intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection was made. Anti-fungal drug and temporary covered metallic stent was used. After stent removed, the fistula was healed with some granulation hyperplasia. He was free from respiratory symptom during 1 year follow-up. CONCLUSION: Intermediate bronchial fistula caused by the combination of mediastinal drainage tube compression and fungal infection is rare. Timely stenting could boost the healing of fistula via granulation tissue proliferation. BioMed Central 2019-11-07 /pmc/articles/PMC6836398/ /pubmed/31699118 http://dx.doi.org/10.1186/s13019-019-1020-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Li, Yahua
Ren, Kewei
Ye, Liqun
Ren, Jianzhuang
Han, Xinwei
Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report
title Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report
title_full Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report
title_fullStr Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report
title_full_unstemmed Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report
title_short Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report
title_sort intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836398/
https://www.ncbi.nlm.nih.gov/pubmed/31699118
http://dx.doi.org/10.1186/s13019-019-1020-x
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