Esophageal cancer complicated by oesophagopulmonary fistula and lung abscess

Case contributed by Dr Farhad Farzam


New onset fever, chest pain and cough.

Patient Data

Age: 60 years
Gender: Male

Circumferential mural thickening in the middle and distal esophagus (known case of SCC).

Evidence of esophageal fistula communicating with lung parenchyma in the left lower lobe resulting in abscesses formation.

Air space consolidatory changes in the left lower lobe.

Presence of esophageal stent.

Case Discussion

Esophageal malignancy is usually aggressive with poor prognosis. Eventually esophageal carcinoma is complicated to esophago-respiratory fistula. Some patients present with direct tumor invasion to the neighboring lung parenchyma and resulting in esophago-pulmonary fistula and subsequent lung abscess.

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Case information

rID: 69780
Published: 21st Jul 2019
Last edited: 7th Sep 2019
Inclusion in quiz mode: Included
Institution: Kabul University of Medical Science

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