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Report of a Case with Fistulous Connection with the Superior Vena Cava

CAPT. MELVIN D. CHEITLIN, MC; CAPT. EDWARD J. KAMIN, MC; CAPT. DANIEL J. WILKES, MC

Arch Intern Med. 1961;107(2):252-259.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Midesophageal traction diverticula are only rarely symptomatic. Very infrequently diverticulitis^1-3 and spontaneous hemorrhage^3,5-7 have been observed to develop, and on rare occasions spontaneous perforation and fistulization with other mediastinal structures have been reported.^8-20 It is the purpose of this paper to report an extremely unusual case of a midesophageal traction diverticulum which formed a fistula with the superior vena cava, caused multiple septic pulmonary emboli, and terminally resulted in exsanguinating esophageal hemorrhage.

Report of Case

A 36-year-old white male officer was admitted to the U.S. Army Hospital at Fort Gordon, Ga., complaining of a nonproductive hacking cough, mild pleuritic chest pain, and intermittent chilly sensations, which had persisted for 5 days. Physical examination revealed no abnormality of the heart or lungs and was otherwise unremarkable except for a temperature elevation of 100.8 F. Initial laboratory studies were within normal limits and included white blood cell count and . . . [Full Text PDF of this Article]

Author Affiliations
USA; USA

Department of Medicine (Capt. Cheitlin, Capt. Kamin), and Department of Pathology (Capt. Wilkes), Walter Reed Army Hospital, Walter Reed Army Medical Center, Washington 12, D.C.

Footnotes
Submitted for publication April 24, 1960.

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