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[Bronchoesophageal fistula in a patient with untreated malignant lymphoma].
- Source :
-
[Rinsho ketsueki] The Japanese journal of clinical hematology [Rinsho Ketsueki] 2005 Sep; Vol. 46 (9), pp. 1071-3. - Publication Year :
- 2005
-
Abstract
- Bronchoesophageal fistulae associated with lymphomas are generally associated with chemo-radiotherapy. We report here an unusual case of lymphoma with a therapy-unrelated bronchoesophageal fistula. Previously, only 10 similar cases have been reported. A 70-year-old male was diagnosed as having gastric diffuse large B-cell lymphoma in May 1998. In January 1999, he noted a cough after eating and drinking. Because of the presence of a febrile temperature, productive cough and dyspnea, he was referred to our hospital and diagnosed as having aspiration pneumonia. Antibiotics did not improve his symptoms. When tracheal intubation was performed with bronchoscopy, a bronchoesophageal fistula was revealed. Malignant lymphoma cells were found around the fistula in the biopsy specimen. The patient died of pneumonia after treatment with airway stenting and chemotherapy. Induction of necrosis by chemotherapy or low blood flow with stenting and dopamine probably caused enlargement of the fistula.
- Subjects :
- Aged
Bronchial Fistula therapy
Esophageal Fistula therapy
Fatal Outcome
Humans
Male
Pneumonia, Aspiration etiology
Pneumonia, Aspiration therapy
Stents adverse effects
Bronchial Fistula etiology
Esophageal Fistula etiology
Lymphoma, B-Cell complications
Lymphoma, Large B-Cell, Diffuse complications
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0485-1439
- Volume :
- 46
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- [Rinsho ketsueki] The Japanese journal of clinical hematology
- Publication Type :
- Academic Journal
- Accession number :
- 16440767