Kao Chih-Hong, Wu Ti-Hei, Huang Tsai-Wang, Lee Shih-Chun, Cheng Yeung-Leung
Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Acta Gastroenterol Belg. 2011 Mar;74(1):79-81.
We describe a 69-year-old male who presented with high fever, progressive right chest pain and shortness of breath. A chest radiograph showed a right massive hydropneumothorax. After diagnostic assessment, an esophagomediastinal fistula complicated by squamous cell carcinoma of the esophagus was subsequently confirmed. Clinical signs were significantly improved by chest tube insertion, antibiotic therapy and esophageal stent implantation.
我们描述了一名69岁男性,他出现高热、进行性右胸痛和呼吸急促。胸部X线片显示右侧大量液气胸。经过诊断评估,随后证实为食管纵隔瘘合并食管鳞状细胞癌。通过插入胸管、抗生素治疗和食管支架植入,临床症状得到明显改善。