A case of esophagorespiratory fistula found on videofluorography

Abstract

We report a 59-year-old woman who presented with recurrent episodes of coughing and choking while eating. She had a history of metastatic tumor in the mediastinal lymph nodes treated with radiation and chemotherapy. She had also undergone placement of an esophageal stent. Videofluorography demonstrated esophagorespiratory fistula be-tween the trachea and esophagus. The prevalence of this complication increases with prolonged survival of patients with malignancy in the mediastinal region. Such fistulae should be diagnosed as early as possible, because insertion of a covered stent usually improves the quality of life for these patients.

Keywords

• Esophagorespiratory fistula, videofluorography, malignancy, esophageal stent.

A case of esophagorespiratory fistula found on videofluorography

Abstract

Bu olgu bildirisinde, yemek sırasında tekrarlayan öksürme ve boğulma nöbetleri olan 59 yaşında bir kadın hasta su-nulmuştur. Geçmişinde, mediastinal lenf bezlerinde metastatik tümör bulunması nedeniyle radyasyon ve kemoterapi tedavisi uygulanmış olup, ayrıca özofajiyal stent takılmıştır. Videofluorografide trake ve özofagus arasında özofago-respiratuar fistül olduğu görülmüştür. Bu komplikasyonun prevalansı, mediastinal bölgede malignitesi olan hastaların hayatta kalma sürelerinin uzaması ile artar. Kaplı stent takılması, bu hastaların yaşam kalitesini genelde artırdığın-dan, bu tür fistüller mümkün olduğunca erken teşhis edilmelidir.

Keywords

• Özofagorespiratuar fistül, videofluorografi, malignite, özofajiyal stent.

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