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Case Report
An esophageal-mediastinal fistula in a renal transplant patient—a late complication that shall both dither the clinician and be rapidly fatal: A case report
1 Senior Consultant Nephrologist, Department of Nephrology, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur District, Tamil Nadu, India
2 Junior Consultant Nephrologist, Department of Nephrology, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur District, Tamil Nadu, India
3 Consultant Radiologist, Department of Radiology, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur District, Tamil Nadu, India
4 Assistant Professor of Surgery, Department of Surgery, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur District, Tamil Nadu, India
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Rajesh Jayaraman
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Article ID: 101140Z01RJ2020
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Jayaraman R, Aravindh G, Subramaniam V, Durairaj N, Karthikeyan CRM. An esophageal-mediastina fistula in a renal transplant patient—a late complication that shall both dither the clinician and be rapidly fatal: A case report. Int J Case Rep Images 2020;11:101140Z01RJ2020.ABSTRACT
Although renal transplantation has said to have transformed the quality of lives of most of the end stage renal disease patients, it is attended by its own set of complications including allograft rejection, drug-related side effects, small to potentially lethal infections, and various malignancies in the long run. Esophageal ulcers are known to occur after renal transplantation due to various infections including cytomegalovirus (CMV)/Herpes and the drugs Mycophenolate mofetil (MMF) and steroids. We hereby report a rare gastrointestinal complication of esophageal-mediastinal fistula in a renal transplant patient that presented as severe mediastinitis and had a rapidly downhill course in our patient.
Keywords: Esophageal-mediastinal fistula, Mediastinitis, Renal transplant
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Acknowledgments
We acknowledge Dr. Karthikeyan, the radiologist, Dr. Arun Kumar and Dr. Suresh Bhalaji both the urologists who helped in the evaluation. We also thank the junior residents, the staff nurses, and other technicians who helped us in various ways.
Author ContributionsRajesh Jayaraman - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ganesh Aravindh - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Vidyasagar Subramaniam - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Naveen Durairaj - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Karthikeyan CRM - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Copyright© 2020 Rajesh Jayaraman et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
