A Case of Congenital Esophagobronchial Fistula with Esophageal Cancer

A 63-year-old man with a long history of coughing, particularly when drinking beer, was admitted when esophagography showed an esophagobronchial fistula. He also had frequent episodes of pneumonia. Esophagography, esophagoscopy, and bronchoscopy showed a fistula between the anterior wall of the midd...

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Veröffentlicht in:Nippon Shokaki Geka Gakkai zasshi 2003, Vol.36(6), pp.458-463
Hauptverfasser: Nagai, Kazuyuki, Yanagibashi, Ken, Miyahara, Tokiharu, Okada, Noriyuki, Wada, Michihiko, Masai, Yoshikazu, Hashimoto, Takashi, Imai, Shirou, Konishi, Yutaka, Kajiwara, Tatehiro
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container_end_page 463
container_issue 6
container_start_page 458
container_title Nippon Shokaki Geka Gakkai zasshi
container_volume 36
creator Nagai, Kazuyuki
Yanagibashi, Ken
Miyahara, Tokiharu
Okada, Noriyuki
Wada, Michihiko
Masai, Yoshikazu
Hashimoto, Takashi
Imai, Shirou
Konishi, Yutaka
Kajiwara, Tatehiro
description A 63-year-old man with a long history of coughing, particularly when drinking beer, was admitted when esophagography showed an esophagobronchial fistula. He also had frequent episodes of pneumonia. Esophagography, esophagoscopy, and bronchoscopy showed a fistula between the anterior wall of the middle thoracic esophagus and the left main bronchus and an esophageal tumor (0-Ip) facing the fistula. Biopsy of the esophageal tumor showed poorly differentiated squamous cell carcinoma necessitating endoscopic resection. The depth of the cancer was sm2, necessitating open esophagectomy with lymph node dissection and fistula resection. Histologically, the lumen of the fistula was covered with squamous epithelium and surrounded by muscularis mucosa. We diagnosed congenital esophagobronchial fistula (Braimbridge II) based on the patient's history, operative and histological findings. Occurrence of esophageal cancer may be related to the fistula due to their location facing each other.
doi_str_mv 10.5833/jjgs.36.458
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subjects adult
congenital esophagobronchial fistula
esophageal cancer
title A Case of Congenital Esophagobronchial Fistula with Esophageal Cancer
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