# A Late Native Oesophago-Pulmonary Fistula, Oesophageal Foreign Body and Chronic Lung Abscess After Retrosternal Colo-Oesophagoplasty

## TL;DR

A rare case of a late complication after a surgical procedure involving the esophagus and colon is reported, leading to a fistula and lung abscess.

## Contribution

This is the first reported case of a late native oesophago-pulmonary fistula and chronic lung abscess following retrosternal colo-oesophagoplasty.

## Key findings

- A 50-year-old man presented with symptoms seven years after surgery, including cough, pain, regurgitation, and halitosis.
- A fistula and chronic lung abscess were diagnosed 34 years after the initial retrosternal colo-oesophagoplasty.
- Surgical treatment included oesophagectomy and lung segment resection.

## Abstract

The development of a late fistula between a native unremoved corrosively altered oesophagus and the right lung with subsequent chronic lung abscess formation 34 years after retrosternal colo-oesophagoplasty is an extremely rare complication. According to our review of the English-language literature, such a case has not been described so far. We present a 50-year-old man with complaints of dry cough, periodic epigastric postprandial pain, regurgitation of food and halitosis, which started about seven years ago. Transthoracic right-sided subtotal oesophagectomy and resection of the sixth lung segment were performed. Diagnostics and surgical treatment are discussed.