Congenital esophagobronchial fistula in an adult. Case report

Congenital esophagobronchial fistulae are uncommon anomalies generally discovered during the neonatal period due to overt symptoms. Rarely symptoms are discrete, leading to discovery in adulthood; exceptionally the patients are totally symptom free or present minimal signs such as coughing at ingest...

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Bibliographic Details
Published inRevue de pneumologie clinique Vol. 62; no. 6 Pt 1; p. 399
Main Authors Soualhi, M, Zahraoui, R, Khallafi, S, Chaibainou, A, Benamor, J, Bourkadi, J E, Iraqi, G
Format Journal Article
LanguageFrench
Published France 01.12.2006
Subjects
Bronchial Fistula - congenital
Bronchial Fistula - diagnosis
Bronchial Fistula - surgery
Diagnosis, Differential
Esophageal Fistula - congenital
Esophageal Fistula - diagnosis
Esophageal Fistula - surgery
Female
Humans
Middle Aged
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Congenital esophagobronchial fistulae are uncommon anomalies generally discovered during the neonatal period due to overt symptoms. Rarely symptoms are discrete, leading to discovery in adulthood; exceptionally the patients are totally symptom free or present minimal signs such as coughing at ingestion of fluids. Less than 200 adult cases have been reported in the literature. We report a new case of this type II congenital esophagobronchial fistula. A 59-year-old woman was hospitalized for exploration of cough at ingestion of fluids. The radiographic work-up reveal dilatation of the left bronchial tree and suspected esophagobronchial fistula. An esophago-gastro-duodenal barium study demonstrated a fistula between the mid esophagus and the left posterobasal bronchus. Fistulectomy and left lower lobectomy were performed. Outcome was favorable. The diagnosis of adult esophagobronchial fistula should be entertained in patients with an uneventful history who present localized bronchial dilatation associated with cough induced by fluid ingestion.
ISSN:0761-8417