Pneumology - Case Reports
May 18, 2017
Vol. 87 No. 1 (2017)
Esophago-pulmonary fistula manifesting as recurrent pneumonias and migrating mediastinal calcifications
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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A 43-year old man presented with recurrent pneumonias, episodes of hemoptysis and an enlarging right lower lobe mass. A clear diagnosis was not previously established in spite of multiple radiological evaluations and biopsies. Meticulous review of his CT imaging showed that he had subcarinal calcification on his prior CT scans, which had decreased in size and now multiple new small areas of calcifications were seen in the right lower lobe lesion. An esophago-pulmonary fistula due to migration of mediastinal calcifications was suspected which was identified on careful review of the CT chest and confirmed by esophagogastroduodenoscopy. Patient had surgical repair with complete recovery.
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“Esophago-Pulmonary Fistula Manifesting As Recurrent Pneumonias and Migrating Mediastinal Calcifications”. 2017. Monaldi Archives for Chest Disease 87 (1). https://doi.org/10.4081/monaldi.2017.813.