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Case Report
Respiratory failure concealing an esotracheal fistula in a 27-year-old patient followed for Hodgkin’s lymphoma, at an advanced stage, having received radiochemotherapy: A case report and review of the literature
1 National Institute of Oncology, Anesthesiology and Resuscitation Department, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco
2 Department of Radiology, National Institute of Oncology, Morocco
Address correspondence to:
Yassine Smiti
National Institute of Oncology, Ibn Sina Hospital, Mohamed V University, Rabat,
Morocco
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Article ID: 101051Z01YS2019
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How to cite this article
Smiti Y, Sounni O, Mouden A, Abdelilah G, El Ahmadi B, Belkhadir Z, Kallouch L, Youssef O, Rachida L. Respiratory failure concealing an esotracheal fistula in a 27-year-old patient followed for Hodgkin’s lymphoma, at an advanced stage, having received radiochemotherapy: A case report and review of the literature. Int J Case Rep Images 2019;10:101051Z01YS2019.ABSTRACT
Introduction: Esotracheal fistulas in adults are rare (fewer than 30 cases in the literature) and few cases have been reported in recent years. Hodgkin’s disease with esotracheal fistula is extremely rare. The diagnosis can be established by esophageal and/or tracheal endoscopy. The diagnosis can also be corroborated by direct visualization of a fistulous pathway or oral contrast swallow associated with computed tomography (CT) imaging.
Case Report: We present the case of a 27-year-old patient followed for Hodgkin’s disease, admitted to the emergency room with respiratory failure. He did not respond to treatment by mechanical ventilation. His paraclinical investigations revealed an esotracheal fistula.
Conclusion: Esotracheal or esobronchial fistula could be seen with any of the classical Hodgkin’s lymphoma subtypes. It could also be a complication of either radiotherapy (RT) or chemotherapy for Hodgkin’s lymphoma which is an extremely rare event. The majority of fistulas occurred in the upper two-thirds of the esophagus, and 67% treated solely with chemotherapy and/or RT closed without surgical intervention. In the case of our patient, the rapidly degenerative evolution of respiratory state did not give us time to do esogastric fibroscopy and manage the fistula. If we had extracorporeal membrane oxygenation (ECMO) we could be more efficient for those patients.
Keywords: Esotracheal fistula, Hodgkin’s lymphoma, Respiratory distress
SUPPORTING INFORMATION
Author Contributions
Yassine Smiti - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Oussama Sounni - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Achraf Mouden - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Final approval of the version to be published
Ghannam Abdelilah - Substantial contributions to conception and design, Analysis of data, Drafting the article, Final approval of the version to be published
Brahim El Ahmadi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Final approval of the version to be published
Zakaria Belkhadir - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Lamyae Kallouch - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Omor Youssef - Substantial contributions to conception and design, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Latib Rachida - Substantial contributions to conception and design, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Yassine Smiti et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
