Colobronchial Fistula (CBF) Type 1 in a young female with advanced stage solid tumours with defective DNA mismatch repair (MSI-H)

We report a case of colobronchial fistula in a 43 years old female with history of advanced endometrial carcinoma involving ascending colon, spleen, pancreas and omentum. She underwent total hysterectomy, salpingoopharectomy, distal pancreatectomy, splenectomy right hemicolectomy and HIPEC with postoperative chemotherapy. later, she had colobronchial fistula that mandated laparotomy drainage of the collection, repair of transverse colon, excision of a fistulous track. Left thoracotomy and Closure of a diaphragmatic defect, clipping of the thoracic part of the fistulous track, wedge resection of the involved subsegment of the left lower lobe. Immediate resolution of the foul-smelling expectoration.