Annals of Thoracic Medicine
CASE REPORT
Year
: 2019  |  Volume : 14  |  Issue : 3  |  Page : 213--215

Two rare complications in a single patient of lung cancer: Radiation-induced spontaneous esophageal perforation and aortic rupture and their successful management


Mohan Venkatesh Pulle, Harsh Vardhan Puri, Belal Bin Asaf, Arvind Kumar 
 Centre for Chest Surgery, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. Mohan Venkatesh Pulle
Centre for Chest Surgery, Sir Ganga Ram Hospital, New Delhi
India

Adjuvant radiotherapy is indicated in few operated cases of lung cancer for effective local control. Oesophageal perforation and aortic rupture are rare and lethal complications of postoperative adjuvant radiotherapy. Both of these complications happened in a 64 year male patient with squamous cell carcinoma of lung. Radiation induced oesophageal perforation occurred immediately after completion of radiotherapy. Endoscopic Self Expanding Radio Therapy (SEMS) was placed, thoracic cavity was debrided and window thoracostomy was performed. After few months of this episode, he had torrential bleeding from descending thoracic aorta. Thoracic Endo Vascular Aortic Repair (TEVAR) was done and bleeding was controlled. This case is unique because both these fatal events happened in a single patient. This report also highlights the use of above mentioned novel therapeutic methods for successful management of these complications in these frail patients.


How to cite this article:
Pulle MV, Puri HV, Asaf BB, Kumar A. Two rare complications in a single patient of lung cancer: Radiation-induced spontaneous esophageal perforation and aortic rupture and their successful management.Ann Thorac Med 2019;14:213-215


How to cite this URL:
Pulle MV, Puri HV, Asaf BB, Kumar A. Two rare complications in a single patient of lung cancer: Radiation-induced spontaneous esophageal perforation and aortic rupture and their successful management. Ann Thorac Med [serial online] 2019 [cited 2021 Apr 20 ];14:213-215
Available from: https://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2019;volume=14;issue=3;spage=213;epage=215;aulast=Pulle;type=0