J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 630KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 84(7): 643-647, 1983

Original article

A SUCCESSFULLY TREATED CASE OF CONGENITAL ESOPHAGOBRONCHIAL FISTULA IN ADULT

*) First Department of Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
**) Department of Thoracic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan

Hisaaki Shimazu*), Tomio Konishi*), Masami Shoji*), Yukihisa Miyazawa*), Sumio Inoue*), Yasuhiko Morioka*), Tsuyoshi Yoshitake**), Kenichi Asano**)

A case of congenital esophagobronchial fistula in a 46-year-old woman was described. The patient had presented with repeated attacks of pulmonary infection from her childhood and had been diagnosed pneumonia at least five or six times after the age of 18 years. Preoperative examinations including esophagogram by barium swallow revealed the existence of a fistula between middle thoracic esophagus and left B6 bronchus. The fistula was recognized as Type II of Braimbridge and Keith's classification, and successfully resected with left lower pulmonary lobe.
Sixty-eight cases with congenital esophagobronchial fistula in adult including our own case have been reported in Japanese literature and about 70 cases in the literature of western countries. From the analysis of these cases, diagnostic basis on congenital origin of the fistula, useful diagnostic methods, types of the fistula and appropriate surgical procedures were discussed.

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