Contribution of computed tomography with oral media contrast to the diagnosis of esophago-pericardial fistula.

Fiche publication


Date publication

septembre 2006

Auteurs

Membres identifiés du Cancéropôle Est :
Pr BRONOWICKI Jean-Pierre, Pr PEYRIN-BIROULET Laurent


Tous les auteurs :
Peyrin-Biroulet L, Bronowicki JP, Bigard MA, Regent D, Walter S, Platini C

Résumé

The esophago-pericardial fistula is a very rare and usually fatal complication of esophageal cancers. We report a case of a 56-year-old man who presented with chest pain 1 month after concurrent radiochemotherapy for squamous cell esophageal carcinoma. Thoracic computed tomography (CT) with oral iodinated media contrast revealed esophago-pericardial fistula visualizing the fistulous tract. We conclude that CT with oral contrast media may be the first imaging technique of choice to confirm the diagnosis of esophago-pleural fistula.

Référence

Clin Imaging. 2006 Sep-Oct;30(5):347-9.