A Rare Case of Congenital Esophagobronchial Fistula in an Adult

Introduction: Congenital esophagobronchial fistulas in adults are extremely rare, acquired fistulas being more common. The aim of this paper was to present a rare case of congenital esophagobronchial fistula in a 37-year-old male of type II Braimbridge’s classification and to emphasize on the diagnostic modality of choice and the appropriate mode of treatment. Case Report: A 37-year-old male presented with chronic cough with ingestion of food, especially liquids of 13 years duration and recent onset hemoptysis. He was evaluated with upper gastrointestinal endoscopy, bronchoscopy, computed tomography scan of chest and the definitive test was barium swallow which confirmed it. He underwent transthoracic excision of the fistula with repair of both esophageal and bronchial ends. A preoperative endoscopy helped localization of the tract. Postoperative outcome was excellent with no leak and patient is totally asymptomatic after 12 weeks of surgery. Conclusion: Congenital esophagobronchial fistulas in adults, due to insidious nature need high index of suspicion as early diagnosis by barium swallow and surgical treatment gives excellent results. Peroperative endoscopy is mandatory to localize the tracts, helps do an intraoperative leak test and avoid esophageal stenosis during repair.

並列關鍵字

Barium swallow ； Congenital esophagobronchial fistula ； Peroperative endoscopy ； Transthoracic excision

國際替代計量

全文下載

主題瀏覽