Rare Diseases Symptoms Automatic Extraction

Tracheal penetration and tracheoesophageal fistula caused by an esophageal self-expanding metallic stent.

[esophageal squamous cell carcinoma]

Tracheal penetration of esophageal self-expanding metallic stents (SEMS) with/without tracheoesophageal fistula (TEF) formation is a rare occurrence. We report the case of a 66-year-old female patient with advanced esophageal squamous cell carcinoma who had undergone palliative esophageal stenting on three occasions for recurrent esophageal stent obstruction. On evaluation of symptoms of breathing difficulty and aspiration following third esophageal stent placement, tracheal erosion and TEF formation due to the tracheal penetration by esophageal stent were diagnosed. The patient was successfully managed by covered tracheal SEMS placement under flexible bronchoscopy.

Diseases presenting "aspiration" symptom

  • adrenal incidentaloma
  • allergic bronchopulmonary aspergillosis
  • carcinoma of the gallbladder
  • cholangiocarcinoma
  • congenital diaphragmatic hernia
  • cowden syndrome
  • cushing syndrome
  • cutaneous mastocytosis
  • dedifferentiated liposarcoma
  • erdheim-chester disease
  • esophageal squamous cell carcinoma
  • familial hypocalciuric hypercalcemia
  • focal myositis
  • hodgkin lymphoma, classical
  • legionellosis
  • liposarcoma
  • megacystis-microcolon-intestinal hypoperistalsis syndrome
  • neonatal adrenoleukodystrophy
  • pleomorphic liposarcoma
  • pyomyositis
  • waldenström macroglobulinemia
  • well-differentiated liposarcoma
  • x-linked adrenoleukodystrophy

This symptom has already been validated