Esophageal cancer complicated by oesophagopulmonary fistula and lung abscess
Diagnosis almost certain
Presentation
New onset fever, chest pain and cough.
Patient Data
Age: 60 years
Gender: Male
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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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