Tracheal fistula repair with stent placement after failure of reconstruction with muscle tissue. A lung cancer surgery complication

Paul Zarogoulidis; Stavros Tryfon; Maria Saroglou; Dimitris Matthaios; Kosmas Tsakiridis; Haidong Huang; Chong Bai; Wolfgang Hohenforst-Schmidt; Dimitris Hatzibougias; Evaggelia Athanasiou; Electra Michalopoulou-Manoloutsiou; Ioannis Mpoukovinas; Aris Ioannidis; Christoforos Kosmidis

doi:10.1016/j.rmcr.2021.101518

Tracheal fistula repair with stent placement after failure of reconstruction with muscle tissue. A lung cancer surgery complication

Respir Med Case Rep. 2021 Sep 21:34:101518. doi: 10.1016/j.rmcr.2021.101518. eCollection 2021.

Authors

Affiliations

¹ Pulmonary Department, "Bioclinic" Private Hospital, Thessaloniki, Greece.
² 3rd University General Hospital, "AHEPA" University Hospital, Thessaloniki, Greece.
³ Pulmonary Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Greece.
⁴ Oncology Department, General Hospital of Rhodos, Rhodos, Greece.
⁵ Thoracic Surgery Department, "Interbalkan" European Medical Center, Thessaloniki, Greece.
⁶ Department of Respiratory & Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai, China.
⁷ Sana Clinic Group Franken, Department of Cardiology / Pulmonology / Intensive Care / Nephrology, ''Hof'' Clinics, University of Erlangen, Hof, Germany.
⁸ Microdiagnostics® Private Pathology Lab, Thessaloniki, Greece.
⁹ Oncology Department, "Bioclinic" Private Hospital, Thessaloniki, Greece.
¹⁰ Surgery Department, "Genesis" Private Clinic, Thessaloniki, Greece.

Abstract

A report a case of a 63 year old male diagnosed with lung cancer adenocarcinoma. The patient had a right paratracheal mass diagnosed with EBUS-TBNA 22G. The patient had surgery, however 7 days after the billau catheter was removed pneumothorax was diagnosed which did not resolved. Bronchoscopy reveled two minor fistulas in the interior wall of the trachea. An additional surgery was performed in order to add muscle patches on the exterior part of the trachea. Unfortunately additional stent placement was placed after a silicon stent since the muscle patches failed. We chose a metallic auto expandable stent since after three months of follow up a small metastatic lesion was observed in the liver. Stent placement is an option for these patients and the right stent has to be placed for each case.

Keywords: Bronchoscopy; EBUS-TBNA; Fistula; Lung cancer; Rigid bronchospe; Stent.

Publication types

Case Reports