Pneumology - Case Reports Open access

Esophago-pulmonary fistula manifesting as recurrent pneumonias and migrating mediastinal calcifications

Authors

Published
18 May 2017
Section
Pneumology - Case Reports
DOI
10.4081/monaldi.2017.813

Abstract

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.

Keywords

Author Biographies

  • Sai Yendamuri, Roswell Park Cancer Institute, Department of Thoracic Surgery

    Chair, Thoracic Surgery

  • Samjot Singh Dhillon, Roswell Park Cancer Institute, Pulmonary Medicine

    Chief of Pulmonary Medicine

    Associate Professor of Oncology

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