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Congenital bronchoesophageal fistula in an adult: a case report
Lei Su1, Xiu-Qin Wei, Xiu-Yi Zhi
1Department of Thoracic Surgery, Xuan Wu Hospital of Capital University of Medical Science, No. 45 Changchun Street, Beijing 100053, China. drsulei@yahoo.com.cn
Insights
Congenital bronchoesophageal fistula is rare in adults, presenting with cough and choking. This case highlights the need for considering this diagnosis in adults with unexplained respiratory issues.
Area of Science:
- Medical Case Report
- Gastroenterology
- Pulmonology
Background:
- Bronchoesophageal fistulas are typically diagnosed in neonates.
- Congenital bronchoesophageal fistulas are exceptionally rare in the adult population.
Observation:
- A 62-year-old man presented with severe coughing and choking episodes after liquid ingestion.
- Diagnostic workup, including a barium esophagogram, confirmed a fistula between the esophagus and the right lower lobe bronchus.
Findings:
- The case demonstrates a rare instance of congenital bronchoesophageal fistula in an adult.
- Surgical intervention involving fistula division and resection was successfully performed.
Implications:
- This case underscores the importance of considering congenital bronchoesophageal fistula in adults with unexplained respiratory symptoms.
- Early diagnosis and surgical management can lead to favorable patient outcomes.
Abstract:
Bronchoesophageal fistulas are usually diagnosed in the neonatal period. As such, the condition is rare in adults. We present a case of a congenital bronchoesophageal fistula in a 62-year-old man with the complaint of severe bouts of cough and choking after swallowing liquid. His workup included a barium esophagogram that revealed a fistula between the esophagus and a right lower lobe bronchus. The diagnosis should be considered in certain individuals with suggestive symptomatology and unexplained respiratory pathology. The fistula was divided and resected, The patient had an uneventful recovery.
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