ABSTRACT
A 70-year-old patient presented with melena, dyspnea, and generalized weakness. An endoscopy revealed a deep ulcer with a pulsatile clot in the intrathoracic gastric tube that had been previously constructed for esophageal replacement. Shortly thereafter, the patient died of exsanguination secondary to a fistula between the stomach and the right ventricle. This complication presents a unique but deadly cause of gastrointestinal bleeding that mandates swift diagnosis and immediate surgical correction.
Subject(s)
Esophageal Diseases/surgery , Esophagectomy/adverse effects , Gastric Fistula/etiology , Gastrointestinal Hemorrhage/etiology , Heart Diseases/etiology , Stomach/surgery , Aged , Anastomosis, Surgical/adverse effects , Esophagus/surgery , Fatal Outcome , Heart Ventricles , Humans , Male , Rupture/surgeryABSTRACT
Warthin's tumor is a benign lymphoepithelial neoplasm representing 10 per cent of all parotid gland tumors. Malignant transformation of a Warthin's tumor is an extremely rare event. We report a case of a patient with poorly differentiated carcinoma arising from a Warthin's tumor, as well as review the pathogenesis, histopathology, and surgical management of malignant Warthin's tumors.
