BRONCHO-OESOPHAGEAL FISTULA AFTER BRACHYTHERAPY
| Autor: | K. Weytjens, M. Leys, J. Aumann |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Lung Neoplasms medicine.medical_treatment Fistula Brachytherapy Esophageal Fistula Bronchoscopy Carcinoma Non-Small-Cell Lung Humans Medicine Esophagus Aged Lung medicine.diagnostic_test business.industry Mediastinum Stent General Medicine medicine.disease Surgery Radiation therapy medicine.anatomical_structure Stents Bronchial Fistula Radiology Tomography X-Ray Computed business |
| Zdroj: | Acta Clinica Belgica. 65:282-282 |
| ISSN: | 2295-3337 1784-3286 |
| DOI: | 10.1179/acb.2010.062 |
| Popis: | A 65-year-old man presented with a 4 week history of weight loss, and intolerance to fl uids. After drinking a small amount of fl uid, he experienced a bubbling sensation, followed by coughing. 15 months earlier a centrally located nonsmall cell lung carcinoma cT4N3M0 was diagnosed. Patient was treated with chemotherapy, followed by radiotherapy. 8 months later there was haemoptysis and local tumour recurrence was seen during bronchoscopy. After four cycles of chemotherapy, local treatment with intraluminal brachytherapy (3.5 Gy) was started. A chest CT scan was obtained, which showed an air containing space connected with the left main bronchus (Figure 1). Bronchoscopy showed a hole at the brachytherapy site through which the mediastinum is visualised. Oesophagoscopy revealed the opening of the fi stula. A coated 12 cm stent was placed. After the procedure the fl uid intolerance disappeared and patient has been well since then. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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