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Adult Bronchoesophageal Fistula Diagnosed on Computed Tomography

David M Chaky, Carlos Escamilla, Philip H Sheridan

    Radiology Case Reports
    |June 16, 2016
    PubMed

    Insights

    Adult bronchoesophageal fistulas are rare. This case highlights a 59-year-old woman with a bronchoesophageal fistula presenting with cough and recurrent pneumonias, diagnosed via CT and barium esophagogram.

    Area of Science:

    • Medical diagnostics
    • Gastroenterology
    • Pulmonology

    Background:

    • Tracheoesophageal and bronchoesophageal fistulas typically manifest in infancy.
    • Adult presentation of these fistulas is exceptionally rare.

    Observation:

    • A 59-year-old woman presented with persistent cough and recurrent pneumonia.
    • Symptoms suggested an underlying respiratory or esophageal anomaly.

    Findings:

    • Computed tomography (CT) identified a bronchoesophageal fistula.
    • A barium esophagogram confirmed the diagnosis of the bronchoesophageal fistula.

    Implications:

    • This case underscores the importance of considering rare diagnoses in adult patients with atypical presentations.
    • Advanced imaging techniques are crucial for diagnosing complex fistulas.
    • Early diagnosis and intervention are key for managing bronchoesophageal fistulas.

    Keywords:
    CT, computed tomography

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