An Adult Case of Congenital Bronchoesophageal Fistula

²Department of Surgery, Kobe Red Cross Hospital, Japan.
³Department of Thoracic Surgery, Kobe Red Cross Hospital, Japan.
⁴Department of Emergency and Critical Care Medicine, Okayama University Hospital, Japan.

Corresponding Author: Nishimura T, Hyogo Emergency Medical Center, Japan, Tel: +81-78-241-3131; Email: [email protected]

Received Date: 30 Dec 2016

Accepted Date: 27 Jan 2017 

Published Date: 01 Feb 2017

Copyright © 2017 Nishimura T

Citation:Nishimura T, Kadowaki Y, Hattori K, Doi T, et al. (2017). An Adult Case of Congenital Bronchoesophageal Fistula . Mathews J Surgery 1(1): 004.

ABSTRACT

Background: Although bronchoesophageal fistula (BEF) is well-known as congenital disease, adult cases of BEF are extremely rare. Clinician should be care of different diagnosis and treatment of BEF. Case: A 47-year-old man was admitted to our emergency department with complaints of dyspnea and refractory cough. Computed tomography and upper gastrointestinal fiberscopy revealed a fistulous tract running from the esophagus to the left lower bronchus lobe. He had no history of trauma and histological findings did not show malignancy or infectious disease. Result: Left lower lobectomy, primary suture of the esophagus, and intercostal muscle patch were performed; however, suture insufficiency was recognized. After additional retrograde esophageal drainage through the stomach, the patient was uneventfully discharged on post admission day 48. Histopathological findings presented no abnormal tissue. Conclusion: BEF in an adult is rare but curable. Surgery is a definitive treatment.

KEYWORDS

Bronchoesophageal Fistula; Congenital; Adult.