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

Submitted: January 28, 2017
Accepted: March 19, 2017
Published: May 18, 2017
Abstract Views: 1086
PDF: 530
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Authors

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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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

How to Cite

Kebbe, Jadd, Sai Yendamuri, Charles Roche, Kassem Harris, and Samjot Singh Dhillon. 2017. “Esophago-Pulmonary Fistula Manifesting As Recurrent Pneumonias and Migrating Mediastinal Calcifications”. Monaldi Archives for Chest Disease 87 (1). https://doi.org/10.4081/monaldi.2017.813.