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Ann Thorac Surg 1998;66:1409-1410
© 1998 The Society of Thoracic Surgeons

Case Reports

Hodgkin’s disease presenting with a bronchoesophageal fistula

Edmund S. Kassis, BSa, Chandra P. Belani, MDb, Peter F. Ferson, MDa, Robert J. Keenan, MDa, James D. Luketich, MDa

a Section of Thoracic Surgery, Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania USA
b Division of Medical Oncology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania USA

Accepted for publication April 23, 1998.

Address reprint requests to Dr Luketich, 3471 Fifth Ave, Suite 300, Pittsburgh, PA 15213

Bronchoesophageal fistula is a rare complication of Hodgkin’s disease. We report a case of Hodgkin’s disease presenting with a bronchoesophageal fistula that was successfully treated with bipolar esophageal exclusion and substernal gastric bypass. Direct invasion from mediastinal lymph nodes was the probable cause. Although bronchoesophageal fistula can result as a complication during the course of treatment for Hodgkin’s disease, it rarely occurs as the presenting feature. Early recognition and surgical treatment are key aspects of management.






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