A Late Native Oesophago-Pulmonary Fistula, Oesophageal Foreign Body and Chronic Lung Abscess After Retrosternal Colo-Oesophagoplasty

Cureus. 2024 Jul 11;16(7):e64362. doi: 10.7759/cureus.64362. eCollection 2024 Jul.

Abstract

The development of a late fistula between a native unremoved corrosively altered oesophagus and the right lung with subsequent chronic lung abscess formation 34 years after retrosternal colo-oesophagoplasty is an extremely rare complication. According to our review of the English-language literature, such a case has not been described so far. We present a 50-year-old man with complaints of dry cough, periodic epigastric postprandial pain, regurgitation of food and halitosis, which started about seven years ago. Transthoracic right-sided subtotal oesophagectomy and resection of the sixth lung segment were performed. Diagnostics and surgical treatment are discussed.

Keywords: fistula; lung abscess; native oesophago-pulmonary fistula; retrosternal colo-oesophagoplasty; surgical treatment.

Publication types

  • Case Reports