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Oesophagopleural fistula as a novel cause of failed non-invasive ventilation

¹ Department of Respiratory Medicine, Basildon and Thurrock General Hospitals NHS Trust, Basildon, Essex SS16 5NL, UK
² Department of Respiratory Medicine, Royal Brompton and Harefield Hospitals NHS Trust, London SW3 6NP, UK
³ Department of Thoracic Surgery, Royal Brompton and Harefield Hospitals NHS Trust, London SW3 6NP, UK

Correspondence to:
Correspondence to:
Dr B Yung, Department of Respiratory Medicine, Basildon and Thurrock General Hospitals NHS Trust, Nether Mayne, Basildon, Essex SS16 5NL, UK;
Dr.Yung{at}btgh-tr.nthames.nhs.uk

ABSTRACT
Non-invasive ventilatory support is commonly used to palliate symptoms and extend longevity in patients with ventilatory failure due to neuromuscular and restrictive chest wall disease. We describe a patient with ventilatory failure due to a combination of these factors in whom the application of non-invasive ventilation led to intolerable symptoms. An unusual cause for this was found.

Keywords: muscular dystrophy; non-invasive ventilation; oesophageal perforation