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J Bronchology Interv Pulmonol ; 24(4): 310-314, 2017 Oct.
Article in English | MEDLINE | ID: mdl-28181963

ABSTRACT

The implanted venous access catheter is commonly used in the treatment of oncology patients. Although common long-term complications of these devices, such as infection and thrombosis, have been widely reported, venous-airway fistula due to port placement is an extremely rare and poorly understood complication. We report a case of a 56-year-old woman with pancreatic adenocarcinoma whose implanted catheter was complicated by the development of an azygo-bronchial fistula with a concomitant aspergilloma. Herein is the first reported case of successful venous-airway fistula closure obtained through silicone stenting.


Subject(s)
Aspergillosis/complications , Azygos Vein/pathology , Bronchial Fistula/pathology , Bronchoscopy/instrumentation , Catheters, Indwelling/adverse effects , Pancreatic Neoplasms/complications , Adenocarcinoma/pathology , Antifungal Agents/therapeutic use , Aspergillosis/diagnostic imaging , Aspergillosis/drug therapy , Aspergillosis/pathology , Bronchial Fistula/diagnostic imaging , Bronchial Fistula/etiology , Bronchial Fistula/microbiology , Bronchoscopy/methods , Catheters, Indwelling/microbiology , Female , Humans , Middle Aged , Pancreatic Neoplasms/pathology , Silicones/therapeutic use , Stents/statistics & numerical data , Tomography Scanners, X-Ray Computed , Treatment Outcome , Voriconazole/therapeutic use
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