Esophagopulmonary fistula causing pulmonary arterial pseudoaneurysms and massive hemoptysis
An esophagopulmonary fistula (EPF) may occur in patients with esophageal carcinoma and result in pulmonary abscess formation. Lung abscesses may in turn cause pulmonary artery (PA) pseudoaneurysms and life-threatening hemoptysis. We report a 59-year-old man with past medical history of metastatic di...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-07-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043320301382 |
| _version_ | 1818277802305126400 |
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| author | Ali Kord, MD, MPH Edleda James, MD Josi Herren, DO Ron C. Gaba, MD, MS R. Peter Lokken, MD, MPH |
| author_facet | Ali Kord, MD, MPH Edleda James, MD Josi Herren, DO Ron C. Gaba, MD, MS R. Peter Lokken, MD, MPH |
| author_sort | Ali Kord, MD, MPH |
| collection | DOAJ |
| description | An esophagopulmonary fistula (EPF) may occur in patients with esophageal carcinoma and result in pulmonary abscess formation. Lung abscesses may in turn cause pulmonary artery (PA) pseudoaneurysms and life-threatening hemoptysis. We report a 59-year-old man with past medical history of metastatic distal esophageal adenocarcinoma who presented with fever, cough, and massive hemoptysis. Imaging evaluation demonstrated an EPF, associated lung abscess, and PA pseudoaneurysms. The presented case illustrates that embolization of PA pseudoaneurysms to prevent bleeding, and endoscopic esophageal covered stent graft placement to divert esophageal contents from the abscess, may facilitate a favorable outcome. |
| first_indexed | 2024-12-12T23:07:20Z |
| format | Article |
| id | doaj.art-26fe95a6462e4ef08331fa881485eaae |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-12T23:07:20Z |
| publishDate | 2020-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-26fe95a6462e4ef08331fa881485eaae2022-12-22T00:08:40ZengElsevierRadiology Case Reports1930-04332020-07-01157914920Esophagopulmonary fistula causing pulmonary arterial pseudoaneurysms and massive hemoptysisAli Kord, MD, MPH0Edleda James, MD1Josi Herren, DO2Ron C. Gaba, MD, MS3R. Peter Lokken, MD, MPH4Division of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, Chicago, IL, USADivision of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, Chicago, IL, USADivision of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, Chicago, IL, USADivision of Interventional Radiology, Department of Radiology, University of Illinois at Chicago, Chicago, IL, USADivision of Interventional Radiology, Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA; Corresponding author.An esophagopulmonary fistula (EPF) may occur in patients with esophageal carcinoma and result in pulmonary abscess formation. Lung abscesses may in turn cause pulmonary artery (PA) pseudoaneurysms and life-threatening hemoptysis. We report a 59-year-old man with past medical history of metastatic distal esophageal adenocarcinoma who presented with fever, cough, and massive hemoptysis. Imaging evaluation demonstrated an EPF, associated lung abscess, and PA pseudoaneurysms. The presented case illustrates that embolization of PA pseudoaneurysms to prevent bleeding, and endoscopic esophageal covered stent graft placement to divert esophageal contents from the abscess, may facilitate a favorable outcome.http://www.sciencedirect.com/science/article/pii/S1930043320301382Pulmonary artery pseudoaneurysmEsophagopulmonary fistulaPulmonary abscess |
| spellingShingle | Ali Kord, MD, MPH Edleda James, MD Josi Herren, DO Ron C. Gaba, MD, MS R. Peter Lokken, MD, MPH Esophagopulmonary fistula causing pulmonary arterial pseudoaneurysms and massive hemoptysis Radiology Case Reports Pulmonary artery pseudoaneurysm Esophagopulmonary fistula Pulmonary abscess |
| title | Esophagopulmonary fistula causing pulmonary arterial pseudoaneurysms and massive hemoptysis |
| title_full | Esophagopulmonary fistula causing pulmonary arterial pseudoaneurysms and massive hemoptysis |
| title_fullStr | Esophagopulmonary fistula causing pulmonary arterial pseudoaneurysms and massive hemoptysis |
| title_full_unstemmed | Esophagopulmonary fistula causing pulmonary arterial pseudoaneurysms and massive hemoptysis |
| title_short | Esophagopulmonary fistula causing pulmonary arterial pseudoaneurysms and massive hemoptysis |
| title_sort | esophagopulmonary fistula causing pulmonary arterial pseudoaneurysms and massive hemoptysis |
| topic | Pulmonary artery pseudoaneurysm Esophagopulmonary fistula Pulmonary abscess |
| url | http://www.sciencedirect.com/science/article/pii/S1930043320301382 |
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