Esophagobronchial and esophagomediastinal fistula, pleural and pericardial effusion due to severe pseudodiverticulosis of the esophagus

Schacherer, Doris and Mayer, S and Borisch, I and Zorger, N and Kullmann, F and Schoelmerich, J and Grossmann, J (2006) Esophagobronchial and esophagomediastinal fistula, pleural and pericardial effusion due to severe pseudodiverticulosis of the esophagus. ZEITSCHRIFT FUR GASTROENTEROLOGIE, 44 (6). pp. 491-495. ISSN 0044-2771,

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Abstract

We describe the case of a patient who came to our hospital with deterioration of his general condition (especially with loss of weight) and progressive thoracic pain with dyspnea. We diagnosed a severe pseudodiverticulosis of the esophagus with esophagobronchial as well as esophagornediastinal fistulae. Furthermore, reactive pleural and pericardial effusions were shown and Candida was detected in a blood culture. By means of antibiotic therapy and esophageal stent implantation, a significant improvement of the clinical signs was achieved. Intramural pseudodiverticulosis of the esophagus is a rare and benign condition. Multiple triggers, for example, obstruction of the ducts due to shedding of epithelial cells, mucus, and/or submucous fibrosis are possible. Clinical signs are progressive dysphagia, caused by an inflamed stenosis of the esophagus.

Item Type: Article
Uncontrolled Keywords: INTRAMURAL PSEUDODIVERTICULOSIS; DIAGNOSIS; esophagus; pseudodiverticulosis; fistula; Candida infection
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Medicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie)
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 15 Feb 2021 07:28
Last Modified: 15 Feb 2021 07:28
URI: https://pred.uni-regensburg.de/id/eprint/34527

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