Esophageal Microperforation due to Calcified Mediastinal Lymph Node Leading to Tracheoesophageal Fistula

A 42-year-old male presented with worsening gastroesophageal reflux disease symptoms and cough. The clinical symptoms during the early course of illness were striking for aspiration pneumonia. He was given a prescription of proton pump inhibitors and antibiotics. Rapid decline in the clinical condit...

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Main Authors: Sankalp Dwivedi, E. Brooke Schrickel, Fayez Siddiqui, John O’Brien, James Kruer
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2016/9747193
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author Sankalp Dwivedi
E. Brooke Schrickel
Fayez Siddiqui
John O’Brien
James Kruer
author_facet Sankalp Dwivedi
E. Brooke Schrickel
Fayez Siddiqui
John O’Brien
James Kruer
author_sort Sankalp Dwivedi
collection DOAJ
description A 42-year-old male presented with worsening gastroesophageal reflux disease symptoms and cough. The clinical symptoms during the early course of illness were striking for aspiration pneumonia. He was given a prescription of proton pump inhibitors and antibiotics. Rapid decline in the clinical condition with worsening respiratory status was noted. Worsening symptoms of fever, cough, and chest pain prompted further diagnostic work-up suggesting esophageal microperforation. Esophagogram was found to be suggestive of tracheoesophageal fistula. The tracheoesophageal fistula was due to subcarinal lymph node of nontuberculous origin.
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publishDate 2016-01-01
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-d9024a2a31bd424cb9ce88f5af0ea9382025-08-20T02:21:11ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362016-01-01201610.1155/2016/97471939747193Esophageal Microperforation due to Calcified Mediastinal Lymph Node Leading to Tracheoesophageal FistulaSankalp Dwivedi0E. Brooke Schrickel1Fayez Siddiqui2John O’Brien3James Kruer4St. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USASt. Mary Mercy Livonia Hospital, Graduate Medical Education, Livonia, MI 48154, USASt. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USASt. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USASt. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USAA 42-year-old male presented with worsening gastroesophageal reflux disease symptoms and cough. The clinical symptoms during the early course of illness were striking for aspiration pneumonia. He was given a prescription of proton pump inhibitors and antibiotics. Rapid decline in the clinical condition with worsening respiratory status was noted. Worsening symptoms of fever, cough, and chest pain prompted further diagnostic work-up suggesting esophageal microperforation. Esophagogram was found to be suggestive of tracheoesophageal fistula. The tracheoesophageal fistula was due to subcarinal lymph node of nontuberculous origin.http://dx.doi.org/10.1155/2016/9747193
spellingShingle Sankalp Dwivedi
E. Brooke Schrickel
Fayez Siddiqui
John O’Brien
James Kruer
Esophageal Microperforation due to Calcified Mediastinal Lymph Node Leading to Tracheoesophageal Fistula
Case Reports in Gastrointestinal Medicine
title Esophageal Microperforation due to Calcified Mediastinal Lymph Node Leading to Tracheoesophageal Fistula
title_full Esophageal Microperforation due to Calcified Mediastinal Lymph Node Leading to Tracheoesophageal Fistula
title_fullStr Esophageal Microperforation due to Calcified Mediastinal Lymph Node Leading to Tracheoesophageal Fistula
title_full_unstemmed Esophageal Microperforation due to Calcified Mediastinal Lymph Node Leading to Tracheoesophageal Fistula
title_short Esophageal Microperforation due to Calcified Mediastinal Lymph Node Leading to Tracheoesophageal Fistula
title_sort esophageal microperforation due to calcified mediastinal lymph node leading to tracheoesophageal fistula
url http://dx.doi.org/10.1155/2016/9747193
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