Perforating Barrett's ulcer resulting in a life-threatening esophagobronchial fistula.
Perforating benign ulcer is a very rare complication of Barrett's esophagus. This report presents the management of a patient with a Barrett's ulcer that penetrated into the left mainstem bronchus resulting in a life-threatening bronchial esophageal fistula. This rare complication was successfully managed by using a staged surgical approach, which combined the principles used for treating benign esophagorespiratory fistulas and perforating Barrett's ulcers.
Nigro
John J
JJ
Department of Cardiothoracic Surgery, University of Southern California Keck School of Medicine, Los Angeles 90033, USA. jnigro@hsc.usc.edu
Bremner
Ross M
RM
Fuller
Clark B
CB
Theisen
Jörg
J
Ma
Yanling
Y
Starnes
Vaughn A
VA
D000368:Aged; D001471:Barrett Esophagus / Q000150:complications*; D001983:Bronchial Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications*; D008297:Male; D010437:Peptic Ulcer / Q000150:complications*