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A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer
Bronchoesophageal-pleural fistula (BEPF) is a very rare entity that can present as a late manifestation of oesophageal malignancy. Here, we describe the case of an elderly farmer with no past medical history of note who presented with acute respiratory failure associated with a five-month history of...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481227/ https://www.ncbi.nlm.nih.gov/pubmed/36134059 http://dx.doi.org/10.7759/cureus.27966 |
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author | Gaine, Sam Danish, Hammad Binalialsharabi, Wail Fennessy, Sean Morcos, Ashraf Rogan, Mark |
author_facet | Gaine, Sam Danish, Hammad Binalialsharabi, Wail Fennessy, Sean Morcos, Ashraf Rogan, Mark |
author_sort | Gaine, Sam |
collection | PubMed |
description | Bronchoesophageal-pleural fistula (BEPF) is a very rare entity that can present as a late manifestation of oesophageal malignancy. Here, we describe the case of an elderly farmer with no past medical history of note who presented with acute respiratory failure associated with a five-month history of dysphagia and weight loss. Computerised tomography of the thorax showed a connection between the oesophagus, bronchus and pleural space: a bronchoesophageal-pleural fistula. Ultrasound-guided thoracentesis was followed by chest drain insertion into an empyema containing food debris. Histopathological analysis of endoscopic biopsies confirmed an eroding squamous cell carcinoma (SCC) of the oesophagus. An oesophageal stent was inserted to seal off the fistula and broad-spectrum antibiotics were maximised. Ultimately, after four weeks in hospital, palliative therapy was initiated. BEPF remains a very rare and devastating complication of oesophageal malignancy. Endoscopic stenting may provide symptomatic relief. |
format | Online Article Text |
id | pubmed-9481227 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-94812272022-09-20 A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer Gaine, Sam Danish, Hammad Binalialsharabi, Wail Fennessy, Sean Morcos, Ashraf Rogan, Mark Cureus Gastroenterology Bronchoesophageal-pleural fistula (BEPF) is a very rare entity that can present as a late manifestation of oesophageal malignancy. Here, we describe the case of an elderly farmer with no past medical history of note who presented with acute respiratory failure associated with a five-month history of dysphagia and weight loss. Computerised tomography of the thorax showed a connection between the oesophagus, bronchus and pleural space: a bronchoesophageal-pleural fistula. Ultrasound-guided thoracentesis was followed by chest drain insertion into an empyema containing food debris. Histopathological analysis of endoscopic biopsies confirmed an eroding squamous cell carcinoma (SCC) of the oesophagus. An oesophageal stent was inserted to seal off the fistula and broad-spectrum antibiotics were maximised. Ultimately, after four weeks in hospital, palliative therapy was initiated. BEPF remains a very rare and devastating complication of oesophageal malignancy. Endoscopic stenting may provide symptomatic relief. Cureus 2022-08-13 /pmc/articles/PMC9481227/ /pubmed/36134059 http://dx.doi.org/10.7759/cureus.27966 Text en Copyright © 2022, Gaine et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Gastroenterology Gaine, Sam Danish, Hammad Binalialsharabi, Wail Fennessy, Sean Morcos, Ashraf Rogan, Mark A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer |
title | A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer |
title_full | A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer |
title_fullStr | A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer |
title_full_unstemmed | A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer |
title_short | A Malignant Connection: Bronchoesophageal-Pleural Fistula in an Elderly Farmer |
title_sort | malignant connection: bronchoesophageal-pleural fistula in an elderly farmer |
topic | Gastroenterology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481227/ https://www.ncbi.nlm.nih.gov/pubmed/36134059 http://dx.doi.org/10.7759/cureus.27966 |
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