Hodgkin’s disease presenting with a bronchoesophageal fistula

• Published in: The Annals of thoracic surgery Vol. 66; no. 4; pp. 1409 - 1410
• Main Authors: Kassis, Edmund S, Belani, Chandra P, Ferson, Peter F, Keenan, Robert J, Luketich, James D
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Elsevier Inc 01-10-1998; Elsevier Science
• Subjects: Aged; Biological and medical sciences; Bronchial Diseases - etiology; Bronchial Diseases - surgery; Esophageal Fistula - etiology; Esophageal Fistula - surgery; Fistula - etiology; Fistula - surgery; Hematologic and hematopoietic diseases; Hodgkin Disease - complications; Humans; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis; Male; Medical sciences; Human; Respiratory disease; Esophageal disease; Bronchus; Hodgkin disease; Malignant hemopathy; Fistula; Lymphoma; Esophagus; Case study; Lymphoproliferative syndrome; Digestive diseases; Bronchus disease; Complication; Elderly
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/S0003-4975(98)00784-X

Bronchoesophageal fistula is a rare complication of Hodgkin’s disease. We report a case of Hodgkin’s disease presenting with a bronchoesophageal fistula that was successfully treated with bipolar esophageal exclusion and substernal gastric bypass. Direct invasion from mediastinal lymph nodes was the probable cause. Although bronchoesophageal fistula can result as a complication during the course of treatment for Hodgkin’s disease, it rarely occurs as the presenting feature. Early recognition and surgical treatment are key aspects of management.