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Poster Walks: Poster Walk 4: Interventional pneumology/Thoracic surgery |

P176 Case report of a tracheo-mediatinal fistula after radio-therapy

G. Berra; J. Plojoux; P.M. Soccal
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Geneva University Hospitals, Geneva, Switzerland


Copyright 2017, American College of Chest Physicians and Swiss Respiratory Society SGP. All Rights Reserved.


Chest. 2017;151(5_S):A74. doi:10.1016/j.chest.2017.04.079
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Introduction: Tracheal or bronchial fistulae seem to be a very rare complication only reported in a few cases. Recently Wong et al published the case of a bronchomediastinal fistula (BMF) that occurred in the context of bevacizumab treatment.

Case report: We report the case of a 68-year-old woman who presents a two day history of facial edema with upper thoracic and neck vein distension. The initial workup consisting of a chest CT-scan shows an upper lobe (27x21mm) intraparenchymal mass with heterogenous mediastinal adenopathies that have a necrotic aspect in the 4R area. Those adenopathies are responsible for a major mass effect on the superior cava vein. The patient undergoes a diagnostic bronchoscopy with EBUS-TBNA of the 4R region under local anesthesia, without immediate complication. Cytology analysis confirms poorly differentiated lung adenocarcinoma.

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