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Journal of Cardiothoracic Surgery

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Open Access 01-12-2019 | Silicone | Case report

Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report

Authors: Yahua Li, Kewei Ren, Liqun Ye, Jianzhuang Ren, Xinwei Han

Published in: Journal of Cardiothoracic Surgery | Issue 1/2019

Abstract

Background

Intermediate bronchial fistula formation caused by mediastinal drainage tube compression and fungal infection is rare.

Case presentation

A 50-year-old male patient with type 2 diabetes was observed air filling in mediastinal drainage tube, 12 days after esophagectomy for esophageal squamous carcinoma. Based on the results of computed tomography, bronchoscopy and pathology, the diagnosis of intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection was made. Anti-fungal drug and temporary covered metallic stent was used. After stent removed, the fistula was healed with some granulation hyperplasia. He was free from respiratory symptom during 1 year follow-up.

Conclusion

Intermediate bronchial fistula caused by the combination of mediastinal drainage tube compression and fungal infection is rare. Timely stenting could boost the healing of fistula via granulation tissue proliferation.

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Cao M, Zhu Q, Wang W, et al. Clinical application of fully covered self-expandable metal stents in the treatment of bronchial fistula. Thorac Cardiovasc Surg. 2016;64(6):533–9.CrossRef

Li TF, Duan XH, Han XW, et al. Application of combined-type Y-shaped covered metallic stents for the treatment of gastrotracheal fistulas and gastrobronchial fistulas. J Thorac Cardiovasc Surg. 2016;152(2):557–63.CrossRef

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Title: Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report
Authors: Yahua Li
Kewei Ren
Liqun Ye
Jianzhuang Ren
Xinwei Han
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Silicone
Bronchoscopy
Esophagus Resection
Esophagus Resection
Published in: Journal of Cardiothoracic Surgery / Issue 1/2019
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-019-1020-x

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection: a case report

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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