Congenital bronchoesophageal fistula in adults

Zhang, Bao-Shi; Zhou, Nina; Yu, Chenggang

doi:10.3748/wjg.v17.i10.1358

Cited by 15 publications

(21 citation statements)

References 15 publications

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“…A congenital fistula usually presents with recurrent cough since infancy, but may not be diagnosed until adulthood [1]. The incidence of acquired bronchooesophageal fistula is not known.…”

Section: Discussionmentioning

confidence: 99%

Acquired broncho-oesophageal fistula in an adult

Dewan

Nair

Saxena

et al. 2014

Indian J Thorac Cardiovasc Surg

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“…A congenital fistula usually presents with recurrent cough since infancy, but may not be diagnosed until adulthood [1]. The incidence of acquired bronchooesophageal fistula is not known.…”

Section: Discussionmentioning

confidence: 99%

Acquired broncho-oesophageal fistula in an adult

Dewan

Nair

Saxena

et al. 2014

Indian J Thorac Cardiovasc Surg

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“…Congenital BOFs were first described by Negus in 1929 2,5 and were classified into four categories by Braimbridge and Keith in 1965 3 . So far, only about 100 cases have been reported in the literature 1 .…”

Section: Discussionmentioning

confidence: 99%

Congenital broncho-oesophageal fistula: An unusual cause of persistent pneumonia in a young adult

Savvidou

Pasoglou

Kyparisia

et al. 2013

Respiratory Medicine Case Reports

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A 19-year-old female with a 3-day history of high temperature, productive cough and dyspnoea was admitted due to diabetic ketoacidosis and pneumonia of the right lower lobe. Antibiotics (amoxicillin-clavulanic acid), insulin, fluids and electrolytes were administered, as appropriate. The patient was doing well (normal temperature, normal glucose levels, normal acid-base balance) until the sixth day of hospitalization, when she reported bouts of cough when swallowing liquids. Barium oesophagography revealed the presence of a broncho-oesophageal fistula (BOF). Congenital BOFs are rare developmental malformations (only just over 100 reported cases in the literature), which are attributable to persistent attachments between the tracheobronchial tree and the oesophagus. When not combined with oesophageal atresia, symptoms may not appear until adult life. History of recurrent respiratory infections, bronchiectasis, haemoptysis and chronic cough associated with eating, may indicate investigation with conventional or multi-positional oesophagography. At the time that surgery was decided, our patient developed persistent pneumonia of both the middle and the lower right lobes. A fistulous tract between the medial segmental bronchus and the oesophagus was removed, along with right middle lobectomy. Post-operative clinical course was excellent.

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“…EPF may be congenital or acquired [1,2]. It could be a complication of toxic ingestions or achalasia [3].…”

Section: Discussionmentioning

confidence: 99%

Esophago-pulmonary fistula manifesting as recurrent pneumonias and migrating mediastinal calcifications

Kebbe

Yendamuri

Roche

et al. 2017

Monaldi Arch Chest Dis

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A 43-year old man presented with recurrent pneumonias, episodes of hemoptysis and an enlarging right lower lobe mass. A clear diagnosis was not previously established in spite of multiple radiological evaluations and biopsies. Meticulous review of his CT imaging showed that he had subcarinal calcification on his prior CT scans, which had decreased in size and now multiple new small areas of calcifications were seen in the right lower lobe lesion. An esophago-pulmonary fistula due to migration of mediastinal calcifications was suspected which was identified on careful review of the CT chest and confirmed by esophagogastroduodenoscopy. Patient had surgical repair with complete recovery.

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Congenital bronchoesophageal fistula in adults

Abstract: Congenital bronchoesophageal fistula is rare in adults. Its most useful diagnostic method is esophagography. It must be treated surgically as soon as the diagnosis is established.

Cited by 15 publications

References 15 publications

Acquired broncho-oesophageal fistula in an adult

Acquired broncho-oesophageal fistula in an adult

Congenital broncho-oesophageal fistula: An unusual cause of persistent pneumonia in a young adult

Esophago-pulmonary fistula manifesting as recurrent pneumonias and migrating mediastinal calcifications

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