 |
Case Report
An esophageal-mediastinal fistula in a renal transplant patient—a late complication that shall both dither the clinician and be rapidly fatal: A case report
1 Senior Consultant Nephrologist, Department of Nephrology, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur District, Tamil Nadu, India
2 Junior Consultant Nephrologist, Department of Nephrology, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur District, Tamil Nadu, India
3 Consultant Radiologist, Department of Radiology, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur District, Tamil Nadu, India
4 Assistant Professor of Surgery, Department of Surgery, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur District, Tamil Nadu, India
Address correspondence to:
Rajesh Jayaraman
SF-1, A Block, 3rd Floor, PLA Royal Arcade, 10th Cross West Extension, Thillai Nagar, Tiruchirapalli City, Tamil Nadu,
India
Message to Corresponding Author
Article ID: 101140Z01RJ2020
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Jayaraman R, Aravindh G, Subramaniam V, Durairaj N, Karthikeyan CRM. An esophageal-mediastina fistula in a renal transplant patient—a late complication that shall both dither the clinician and be rapidly fatal: A case report. Int J Case Rep Images 2020;11:101140Z01RJ2020.ABSTRACT
Although renal transplantation has said to have transformed the quality of lives of most of the end stage renal disease patients, it is attended by its own set of complications including allograft rejection, drug-related side effects, small to potentially lethal infections, and various malignancies in the long run. Esophageal ulcers are known to occur after renal transplantation due to various infections including cytomegalovirus (CMV)/Herpes and the drugs Mycophenolate mofetil (MMF) and steroids. We hereby report a rare gastrointestinal complication of esophageal-mediastinal fistula in a renal transplant patient that presented as severe mediastinitis and had a rapidly downhill course in our patient.
Keywords: Esophageal-mediastinal fistula, Mediastinitis, Renal transplant
SUPPORTING INFORMATION
Acknowledgments
We acknowledge Dr. Karthikeyan, the radiologist, Dr. Arun Kumar and Dr. Suresh Bhalaji both the urologists who helped in the evaluation. We also thank the junior residents, the staff nurses, and other technicians who helped us in various ways.
Author ContributionsRajesh Jayaraman - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ganesh Aravindh - Interpretation of data, Drafting the article, Final approval of the version to be published
Vidyasagar Subramaniam - Acquisition of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Naveen Durairaj - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Karthikeyan CRM - Interpretation of data, Drafting the article, 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.
Copyright© 2020 Rajesh Jayaraman 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.
