Delayed onset of mediastinitis with tracheomediastinal fistula following endobronchial ultrasound‐guided transbronchial needle aspiration; A case report

Jang, Jong Geol; Ahn, Jae‐Jun; Lee, Seok Soo

doi:10.1111/1759-7714.13888

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…In order to identify common features, risk factors, and treatment strategies for tracheomediastinal fistula, we searched and reviewed relevant case reports from 2013 to 2023 using keywords such as “mediastinal,” “fistula,” and “cancer” on PubMed. There were eight case reports of tracheomediastinal and bronchomediastinal fistulas available in English, which are summarized in Table 1 including the present case 7–14 . The median age was 60 (range: 22–75), and seven out of nine were men.…”

Section: Discussionmentioning

confidence: 96%

“…There were eight case reports of tracheomediastinal and bronchomediastinal fistulas available in English, which are summarized in Table 1 including the present case. 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 The median age was 60 (range: 22–75), and seven out of nine were men. The underlying diseases included six cases of lung cancer, and two cases of lymphoma.…”

Section: Discussionmentioning

confidence: 99%

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Tracheomediastinal fistula induced by concurrent chemoradiotherapy in small cell lung cancer: A case report and literature review

Yamamoto,

Shibahara,

Mori

et al. 2024

Thoracic Cancer

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Tracheomediastinal fistula is a rare but life‐threatening complication of cancer. We report a case of tracheomediastinal fistula induced by concurrent chemoradiotherapy in limited stage small cell lung cancer. Despite the treatment response, the metastatic paratracheal lymph node increased gradually during concurrent chemoradiotherapy, resulting in the occurrence of tracheomediastinal fistula and mediastinitis. Without any surgical intervention, the patient achieved successful recovery from mediastinitis through antibiotic treatment, although the tracheomediastinal fistula remained open. In this report, we also review previous studies of tracheomediastinal and bronchomediastinal fistulas and summarize the clinical features.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Tracheomediastinal fistula induced by concurrent chemoradiotherapy in small cell lung cancer: A case report and literature review

Yamamoto,

Shibahara,

Mori

et al. 2024

Thoracic Cancer

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Pyopericardium and extensive mediastinal abscess following EBUS-TBNA for mediastinal staging of NSCLC: a case report

Hartert¹,

Wolf²,

Huertgen³

2023

Mediastinum

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Thermal Ablation and Intralesional Cisplatin Injection as Adjunct to Systemic Chemotherapy in Managing Malignant Central Airway Obstruction: A Case Report

Gabaon,

Donguines,

Velasco

et al. 2024

Phil J Chest Dis

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Endobronchialultrasound (EBUS)-guidedintralesional chemotherapy and thermal ablation using cryotherapy and electrocautery can be used for the management of malignant central airway obstruction (CAO). This is a case of a 62-year-old male presenting with cough, hoarseness, and shortness of breath. He was diagnosed with squamous cell carcinoma stage IVA (T4N2M1a), causing malignant CAO that progressed to impending respiratory failure (ECOG PS 4). Chest CT scan findings included a left main bronchus mass measuring 3.7 x 5.8 x 5.9 cm causing complete atelectasis, a right pleural-based mass, and osteolytic destruction of the 3rd lateral ribs. Bronchoscopy showed a fungating, friable mass in the carina extending to the orifice of the right and left mainstem bronchus with 70% and 100% occlusion, respectively. A multimodality treatment approach was taken with tumor debulking by thermal ablation with cryotherapy and electrocautery, EBUS-guided intralesional cisplatin, and systemic chemotherapy. Subsequently, there was an interval decrease in the size of the tumor in multiple areas, with left lung re-expansion. The clinical symptoms of the patient significantly improved and ECOG status increased to 1. No adverse effects were noted post procedure. Intralesional cisplatin can be an effective and safe adjunct treatment in malignant CAO, alongside thermal ablation and systemic chemotherapy.

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Delayed onset of mediastinitis with tracheomediastinal fistula following endobronchial ultrasound‐guided transbronchial needle aspiration; A case report

Cited by 3 publications

References 17 publications

Tracheomediastinal fistula induced by concurrent chemoradiotherapy in small cell lung cancer: A case report and literature review

Tracheomediastinal fistula induced by concurrent chemoradiotherapy in small cell lung cancer: A case report and literature review

Pyopericardium and extensive mediastinal abscess following EBUS-TBNA for mediastinal staging of NSCLC: a case report

Thermal Ablation and Intralesional Cisplatin Injection as Adjunct to Systemic Chemotherapy in Managing Malignant Central Airway Obstruction: A Case Report

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