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- Hippo Yoshitaka
- Divisions of Pulmonology, Surgery International Medical Center of Japan
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- Kawana Akihiko
- Divisions of Pulmonology, Surgery International Medical Center of Japan
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- Yoshizawa Atsuto
- Divisions of Pulmonology, Surgery International Medical Center of Japan
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- Koshino Takeshi
- Divisions of Pulmonology, Surgery International Medical Center of Japan
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- Toyota Emiko
- Divisions of Pulmonology, Surgery International Medical Center of Japan
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- Kobayashi Nobuyuki
- Divisions of Pulmonology, Surgery International Medical Center of Japan
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- Kobori Oichiro
- Divisions of Surgery, International Medical Center of Japan
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- Arai Takashi
- Divisions of Thoracic Surgery, International Medical Center of Japan
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- Kudo Koichiro
- Divisions of Pulmonology, Surgery International Medical Center of Japan
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- Kabe Junzaburo
- Divisions of Pulmonology, Surgery International Medical Center of Japan
Bibliographic Information
- Other Title
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- 膿胸により発見された食道気管支ろうを伴う食道癌の１切除例
Abstract
A 59-year-old woman was admitted to the hospital with a one-month history of hemoptysis, generalized fatigue, and a high fever. A chest X-ray film obtained on admission showed a massive right-sided pleural effusion. Examination of an aspirate showed a high level of amylase, and bacteria that were the same as oral bacteria. Closed drainage yielded ichorous pus and food residues, which led us to the diagnosis of empyema caused by esophageal perforation. Esophagography and fiberoptic esophagoscopy revealed that an esophagobronchial fistula related to an advanced esophageal carcinoma had caused the empyema. Surgical resection was done, and the patient was alive at the time of this writing, 7 months after she was first treated. Esophageal carcinoma is sometimes accompanied by esophagobronchial fisultla. Patients with this condition usually have severe respiratory symotoms; those presenting with empyema are rare. Esophageal carcinoma must be carefully ruled out as the cause of empyema.
Journal
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- The Japanese journal of thoracic diseases
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The Japanese journal of thoracic diseases 35 (5), 583-587, 1997
The Japanese Respiratory Society
