Tracheomediastinal fistula: complication of mediastinal lymphoma
DOI:
https://doi.org/10.53903/01212095.117Keywords:
Fistula, Trachea, Radiotherapy, Drug TherapyAbstract
Fistulas between the airway and other thoracic structures occur mainly with the esophagus and pleura; however, case presentations of fistulas with the mediastinum have been reported. Communications between the airway and the mediastinum are a low-incidence entity with high morbidity and mortality, mainly associated with malignant disease or chemotherapy and radiotherapy treatments. The clinical presentation is variable, but it is common for the initial symptoms to be due to airway obstruction. There are different treatment options that depend on the underlying pathologies, the condition and clinical evolution of the patient, the most frequent being definitive closure surgery. Few cases of patients with tracheomediastinal fistula secondary to mediastinal lymphoma have been reported in the literature, especially with spontaneous closure of the communication after expectant management and tracheostomy, which highlights the importance of this case.
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