Document Detail

Respiratory distress syndrome. A suggestive pattern of shunt effect detected by means of macroparticles.
MedLine Citation:
PMID:  8422714     Owner:  NLM     Status:  MEDLINE    
An esophagobronchial fistula developed in a patient who had well-differentiated squamous carcinoma of the lung that was treated with chemotherapy. Because the esophagobronchial fistula could not be surgically repaired, it was isolated with a mechanical stitch above and below it. Forty-eight hours after initiation of enteral nutrition, a perfusion lung scan was performed because of clinical suspicion of pulmonary embolism. Because the scan showed reduced pulmonary radioactivity and accumulation of activity in the kidneys and spine, an arteriovenous shunt was suspected. However, subsequent digital subtraction angiography ruled out this possibility and a recurrence of the esophagobronchial fistula was confirmed with an esophagogram. The unusual extrapulmonary activity could be related to a reversible capillary shunt in the pulmonary vasculature, secondary to acute respiratory distress syndrome.
A Maldonado; M Domper; M J Garcia; J Arbizu; S Martin; J Richter
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  18     ISSN:  0363-9762     ISO Abbreviation:  Clin Nucl Med     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-02-25     Completed Date:  1993-02-25     Revised Date:  2006-04-24    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  19-21     Citation Subset:  IM    
Department of Nuclear Medicine, Clínica Universitaria de Navarra, Pamplona, Spain.
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MeSH Terms
Antineoplastic Combined Chemotherapy Protocols / therapeutic use
Bronchial Fistula / complications
Carcinoma, Squamous Cell / drug therapy
Esophageal Fistula / complications
Lung / radionuclide imaging*
Lung Neoplasms / drug therapy
Middle Aged
Pneumonia, Aspiration / complications
Respiratory Distress Syndrome, Adult / etiology,  radionuclide imaging*
Technetium Tc 99m Aggregated Albumin / diagnostic use
Reg. No./Substance:
0/Technetium Tc 99m Aggregated Albumin

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