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A case of congenital esophagobronchial fistula which was diagnosed by detailed medical history taking
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- Tamura Mitunobu
- Department of Respiratory Medicine and Allergy, Nara Hospital, Kinki University School of Medicine
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- Nakajima Hirokazu
- Department of Respiratory Medicine and Allergy, Nara Hospital, Kinki University School of Medicine
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- Sawaguchi Hirochiyo
- Department of Respiratory Medicine and Allergy, Nara Hospital, Kinki University School of Medicine
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- Nagai Yasuharu
- Department of Respiratory Medicine and Allergy, Nara Hospital, Kinki University School of Medicine
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- Kawaguchi Takeshi
- Department of Thoracic Surgery, Nara Prefectural Nara Hospital
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- Kushibe Keiji
- Department of Thoracic Surgery, Nara Prefectural Nara Hospital
Bibliographic Information
- Other Title
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- 詳細な問診にて診断し得た先天性食道気管支瘻の１例
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Description
A 67-year-old man was referred to our hospital because of cough and hemosputum. Chest CT showed inflammatory changes with bronchiectasis at S6 of the left lung. Blood serum analysis revealed elevations of beta-D-glucan and aspergillus antigen. He had had pulmonary tuberculosis and two attacks of pneumonia in his infancy. Our diagnosis at this time was bronchiectasis with aspergillosis after old pulmonary tuberculosis. He was treated with an antifungal drug. Three years later, he showed repeat hemosputum and the affected lung area extended. We repeatedly took his medical history in detail. Thirty five years ago, he received a diagnosis of esophageal fistula based on esophagoscopy, and has sometimes coughed after meals. We made a definitive diagnosis of congenital esophagobronchial fistula by esophagography. He underwent excision of the fistula and left lower lobectomy. Detailed medical history taking may help identify congenital esophagobronchial fistula in adults, and esophagography was shown to be a useful method to make a definitive diagnosis.
Journal
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- The Journal of the Japanese Association for Chest Surgery
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The Journal of the Japanese Association for Chest Surgery 25 (5), 491-496, 2011
The Japanese Association for Chest Surgery
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Details 詳細情報について
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- CRID
- 1390001204361835904
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- NII Article ID
- 10029125669
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- NII Book ID
- AN10467885
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- ISSN
- 18814158
- 09190945
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed