Congenital bronchoesophageal fistula in the adult: a case report
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M J Cossentino1, E J Ormseth, H Tavaf-Motamen
1Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA.
Abstract:
Congenital bronchoesophageal fistula is a rare anomaly that may go undiagnosed for many years. There are <200 reported cases in the literature. Patients usually present with chronic cough, a history of multiple pneumonias, and, less often, hemoptysis. The most sensitive test to diagnose a bronchoesophageal fistula is barium esophagogram. Surgical resection is the treatment of choice and is definitive in almost all cases. We present the case of a 52-yr-old woman with a history of cough and multiple pneumonias who sought medical treatment for abdominal pain. We discuss the presentation and the radiographic, endoscopic, and surgical findings, along with a review of the literature.
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