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CASE REPORTS THORACIC PAPERS
The Journal of Cardiovascular Surgery 2000 October;41(5):777-9
Copyright © 2009 EDIZIONI MINERVA MEDICA
lingua: Inglese
Congenital broncho-esophageal fistula in the adult
Inci I., Cagirici U. *, Veral A. **, Sayiner A. ***, Acper H. ****, Bilkay O. *
From the Department of Thoracic and Cardiovascular Surgery Adnan Menderes University School of Medicine Aydın, Turkey *Department of Thoracic Surgery **Department of Pathology ***Department of Chest Diseases ****Department of Radiology Ege University School of Medicine, Izmir, Turkey
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.