A case of congential esophagobronchial fistula in an adult with impaired pulmonary function who was treated using fistulectomy and right middle and lower lobectomy

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  • GOTO Masakazu
    Department of Thoracic, Endocrine Surgery and Oncology, University of Tokushima
  • SAKIYAMA Shoji
    Department of Thoracic, Endocrine Surgery and Oncology, University of Tokushima
  • TOBA Hiroaki
    Department of Thoracic, Endocrine Surgery and Oncology, University of Tokushima
  • KENZAKI Koichiro
    Department of Thoracic, Endocrine Surgery and Oncology, University of Tokushima
  • KONDO Kazuya
    Department of Thoracic, Endocrine Surgery and Oncology, University of Tokushima
  • TANGOKU Akira
    Department of Thoracic, Endocrine Surgery and Oncology, University of Tokushima

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Other Title
  • 右中下葉・瘻管切除を施行した低肺機能の成人先天性食道気管支瘻の1例
  • 症例 右中下葉・瘻管切除を施行した低肺機能の成人先天性食道気管支瘻の1例
  • ショウレイ ミギ チュウ カ ヨウ ・ ロウカン セツジョ オ シコウ シタ テイハイ キノウ ノ セイジン センテンセイ ショクドウ キカンシロウ ノ 1レイ

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Abstract

Here, we have described a successfully treated case of congential esophagobronchial fistula in an adult with impaired pulmonary function. The patient was a 67-year-old woman who had spinal caries caused by tuberculosis. She had experienced coughing after eating for the past 20 years, and the symptom exacerbated since the age of 64 years. She was admitted to our hospital because esophagoscopy had shown an esophagobronchial fistula at the previous clinic. After failure of endoscopic therapy, right middle and lower lobectomy and fistulectomy were performed. The patient's postoperative course was uneventful, and she was discharged on the 16th postoperative day. Since the patient had shown obstructive impairment preoperatively, the operation could be performed safely by using ventilation and perfusion lung scintigraphy. We diagnosed congential esophagobronchial fistula (Braimbridge type I) on the basis of the operative and histopathological findings.

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