Congenital broncho-esophageal fistula in the adult

Articles > Article · 2000

Authors: İLHAN INCI, Ufuk ÇAĞIRICI, Ali VERAL, Abdullah SAYINER, HÜSEYİN HÜDAVER ALPER, ÖNOL BİLKAY

JOURNAL OF CARDIOVASCULAR SURGERY, Journal Indexed in SCI Expanded, International, 2000, vol 41, pp 777-779

DOI: 10.4103/0971-9784.101865

Summary

The case of a 62-year-old woman with a type II congenital broncho-esophageal fistula is presented. She had had recurrent pulmonary infections that were more prominent in the last 15 years. A barium swallow examination showed a communication between the esophagus and the right lower lobe. High resolution computed tomographic scan of the chest revealed right middle and lower lobe bronchiectasis. Bronchoscopy was unremarkable. At thoracotomy bronchoesophageal fistula was divided and the esophageal end was repaired in two layered fashion and reinforced by pediculed parietal pleural flap. Right middle and lower lobectomies were performed. Demonstration of the broncho-esophageal fistula and assessment of the status of the pulmonary parenchyma are important steps prior to surgery.

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