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Esophago-Mediastinal Fistula Due to Tuberculous Mediastinal Lymphadenitis / 대한내과학회지
Korean Journal of Medicine ; : 477-481, 2018.
Article in Korean | WPRIM | ID: wpr-717447
ABSTRACT
Tuberculosis rarely involves the esophagus, and most esophageal tuberculosis occurs secondary to adjacent tuberculous lymphadenitis. An esophago-mediastinal fistula is a very unusual complication of tuberculous lymphadenitis. Herein, we report a case of an esophago-mediastinal fistula due to tuberculous lymphadenitis. A 28-year-old woman who had dysphagia was assessed by chest computed tomography, endoscopy, esophagogram, and a lymph node biopsy. An esophago-mediastinal fistula was found and an antituberculous agent was considered initially. However, because of her severe dysphagia, she managed with endoscopic clipping as an alternative. However, the fistula remained on follow-up esophagography. A gastrostomy was eventually performed, and she was treated with an antituberculous agent. The fistula had closed after 4 weeks of medication. Antituberculous agents are the mainstay treatment for esophago-mediastinal fistula due to tuberculous lymphadenitis; endoscopic clipping may be a complementary treatment.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Thorax / Tuberculosis / Tuberculosis, Lymph Node / Biopsy / Gastrostomy / Deglutition Disorders / Follow-Up Studies / Esophageal Fistula / Endoscopy / Esophagus Type of study: Observational study / Prognostic study Limits: Adult / Female / Humans Language: Korean Journal: Korean Journal of Medicine Year: 2018 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Thorax / Tuberculosis / Tuberculosis, Lymph Node / Biopsy / Gastrostomy / Deglutition Disorders / Follow-Up Studies / Esophageal Fistula / Endoscopy / Esophagus Type of study: Observational study / Prognostic study Limits: Adult / Female / Humans Language: Korean Journal: Korean Journal of Medicine Year: 2018 Type: Article