Skip Navigation LinksHome > December 2009 - Volume 4 - Issue 12 > Iatrogenic Tracheoesophageal Fistula
Journal of Thoracic Oncology:
doi: 10.1097/JTO.0b013e3181bbebee
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Iatrogenic Tracheoesophageal Fistula

Shaida, Nadeem MBBS, MRCS; Raj, Vimal MBBS, FRCR, EDM, PGDLMS; Gopalan, Deepa MBBS, MSc, MRCP, FRCR

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Author Information

Papworth Hospital NHS Trust, Papworth Everard, Cambridgeshire, United Kingdom.

Disclosure: The authors declare no conflicts of interest.

Address for correspondence: Deepa Gopalan, MBBS, MSC, MRCP, FRCR, Papworth Hospital NHS Trust, Papworth Everard, Cambridgeshire CB23 3RE, United Kingdom. E-mail: deepa.gopalan@btopenworld.com

A 60-year-old woman presented with difficulty in breathing due to tracheal compression from limited stage small cell lung cancer (Fig. 1A). A prophylactic Niti-S stent (Taewoong Medical, Seoul, Korea) was deployed in the distal trachea before chemoradiotherapy. She then completed six cycles of carboplatin/etoposide chemotherapy over 5 months and mediastinal radiotherapy to a dose of 40 Gy in 15 fractions over 3 weeks. Three months after completion of her chemoradiotherapy, she developed irritating persistent cough. Computed tomography examination demonstrated a large tracheoesophageal fistula at the distal end of the stent (Fig. 1B) with bilateral consolidation due to aspiration. The fistula was bypassed by a 20/30 mm carinal Y Nitinol stent (Micro-Tech Europe, Nanjing, China; Fig. 1C) across the carina but the patient died due to worsening of acute respiratory distress syndrome. Iatrogenic tracheoesophageal fistula can be a fatal complication of endobnting, especially in patients having chemoradiotherapy.

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© 2009International Association for the Study of Lung Cancer

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