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A rare case of congenital bronchoesophageal fistula in an adult

INTRODUCTION: When congenital bronchoesophageal fistulas exist without atresia of the esophagus, the diagnosis can be delayed, although symptoms may occur early following fistula development. Therefore, while they are usually found in infants, they can be extremely rarely found in adults. We herein...

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Autores principales: Taira, Naohiro, Kawasaki, Hidenori, Atsumi, Eriko, Furugen, Tomonori, Ichi, Takaharu, Kushi, Kazuaki, Yohena, Tomofumi, Baba, Motoo, Kawabata, Tsutomu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985245/
https://www.ncbi.nlm.nih.gov/pubmed/28442319
http://dx.doi.org/10.1016/j.ijscr.2017.03.029
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author Taira, Naohiro
Kawasaki, Hidenori
Atsumi, Eriko
Furugen, Tomonori
Ichi, Takaharu
Kushi, Kazuaki
Yohena, Tomofumi
Baba, Motoo
Kawabata, Tsutomu
author_facet Taira, Naohiro
Kawasaki, Hidenori
Atsumi, Eriko
Furugen, Tomonori
Ichi, Takaharu
Kushi, Kazuaki
Yohena, Tomofumi
Baba, Motoo
Kawabata, Tsutomu
author_sort Taira, Naohiro
collection PubMed
description INTRODUCTION: When congenital bronchoesophageal fistulas exist without atresia of the esophagus, the diagnosis can be delayed, although symptoms may occur early following fistula development. Therefore, while they are usually found in infants, they can be extremely rarely found in adults. We herein report a rare case of bronchoesophageal fistula without atresia in an adult. CASE: An 69-year-old male presented to the outpatient clinic with a decades-long history of cough with expectoration immediately after taking food, especially liquids. Computed tomograph, esophagoscopy, and esophagography revealed the fistulous communication between the mid-esophagus and right lower lobe bronchus, with consolidation in the right lower lobe. We performed right lower lobectomy with the closure and excision of the fistula. The histopathology of the fistula revealed the mucosa to be lined by stratified squamous epithelium. There was no evidence of inflammation, granuloma, or carcinoma. CONCLUSION: In conclusion, despite the benign nature of this malformation, if left untreated, it can cause long-term debilitating respiratory symptoms associated with the fistula. Therefore, the diagnosis should be considered in the evaluation of recurrent lung infection.
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spelling pubmed-59852452018-06-05 A rare case of congenital bronchoesophageal fistula in an adult Taira, Naohiro Kawasaki, Hidenori Atsumi, Eriko Furugen, Tomonori Ichi, Takaharu Kushi, Kazuaki Yohena, Tomofumi Baba, Motoo Kawabata, Tsutomu Int J Surg Case Rep Article INTRODUCTION: When congenital bronchoesophageal fistulas exist without atresia of the esophagus, the diagnosis can be delayed, although symptoms may occur early following fistula development. Therefore, while they are usually found in infants, they can be extremely rarely found in adults. We herein report a rare case of bronchoesophageal fistula without atresia in an adult. CASE: An 69-year-old male presented to the outpatient clinic with a decades-long history of cough with expectoration immediately after taking food, especially liquids. Computed tomograph, esophagoscopy, and esophagography revealed the fistulous communication between the mid-esophagus and right lower lobe bronchus, with consolidation in the right lower lobe. We performed right lower lobectomy with the closure and excision of the fistula. The histopathology of the fistula revealed the mucosa to be lined by stratified squamous epithelium. There was no evidence of inflammation, granuloma, or carcinoma. CONCLUSION: In conclusion, despite the benign nature of this malformation, if left untreated, it can cause long-term debilitating respiratory symptoms associated with the fistula. Therefore, the diagnosis should be considered in the evaluation of recurrent lung infection. Elsevier 2017-03-21 /pmc/articles/PMC5985245/ /pubmed/28442319 http://dx.doi.org/10.1016/j.ijscr.2017.03.029 Text en © 2017 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Taira, Naohiro
Kawasaki, Hidenori
Atsumi, Eriko
Furugen, Tomonori
Ichi, Takaharu
Kushi, Kazuaki
Yohena, Tomofumi
Baba, Motoo
Kawabata, Tsutomu
A rare case of congenital bronchoesophageal fistula in an adult
title A rare case of congenital bronchoesophageal fistula in an adult
title_full A rare case of congenital bronchoesophageal fistula in an adult
title_fullStr A rare case of congenital bronchoesophageal fistula in an adult
title_full_unstemmed A rare case of congenital bronchoesophageal fistula in an adult
title_short A rare case of congenital bronchoesophageal fistula in an adult
title_sort rare case of congenital bronchoesophageal fistula in an adult
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985245/
https://www.ncbi.nlm.nih.gov/pubmed/28442319
http://dx.doi.org/10.1016/j.ijscr.2017.03.029
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