Gonzalez Juan J, Talasila Lakshmi, Ochoa Lisa, Youssef John, Adekolujo Orimisan S
Internal Medicine Department, Mclaren Flint, Michigan State University, Flint, USA.
Cureus. 2018 May 7;10(5):e2589. doi: 10.7759/cureus.2589.
Bronchoesophageal and tracheoesophageal fistulas are an uncommon but well-documented complication of Hodgkin lymphoma (HL). To our knowledge, a fistula directly connecting the esophagus with the lung (esophageal-pulmonary fistula) and resulting from HL has not been reported in the literature. We present a case of HL complicated with an esophageal-pulmonary fistula. The early recognition and treatment of an esophageal-pulmonary fistula in patients with HL are imperative since, with appropriate treatment, HL complicated with an aero-esophageal fistula has the same prognosis as those without one, unlike the dismal prognosis in esophageal and lung cancer. Endoscopic esophageal stenting followed by chemotherapy is the preferred treatment approach. This leads to the healing of the fistula and the prolongation of patient survival.
支气管食管瘘和气管食管瘘是霍奇金淋巴瘤（HL）一种罕见但有充分文献记载的并发症。据我们所知，文献中尚未报道过HL导致的食管与肺直接相通的瘘（食管-肺瘘）。我们报告一例HL并发食管-肺瘘的病例。HL患者食管-肺瘘的早期识别和治疗至关重要，因为通过适当治疗，HL并发气食管瘘的预后与未并发者相同，这与食管癌和肺癌的预后不佳不同。内镜下食管支架置入术联合化疗是首选的治疗方法。这可使瘘愈合并延长患者生存期。
