title: Double congenital bronchoesophageal fistulae in an adult.
abstract: We report adult congenital bronchoesophageal fistula with both symptomatic fistula and asymptomatic one. A 56-year-old woman with a history of cough after drinking fluids was diagnosed as bronchoesophageal fistula by upper gastrointestinal series that showed a diverticulum in the middle portion of the esophagus with a fistula between the esophagus and right lower lung. Esophagoscopy revealed an orifice of the fistula located 27 cm from the incisors. Computed tomography showed chronic inflammatory change with bronchiectasis in the S6 segment of the right lung. The patient underwent video assisted thoracic surgery that identified two fistulae without missing a symptomatic one, and both were successfully resected. The fistulae were lined by squamous epithelium and smooth muscle without evidence of malignancy, infection or chronic inflammation that were histologically compatible with congenital fistulae.
authors.affiliation: Department of Surgery, NTT West Osaka Hospital, Osaka, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwazawa
authors.forename: Mitsunobu
authors.initials: M
authors.lastname: Imazato
authors.forename: Tadashi
authors.initials: T
authors.lastname: Ohnishi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kimura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yano
authors.forename: Takushi
authors.initials: T
authors.lastname: Monden
mesh_terms: D001983:Bronchial Fistula / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D004724:Endoscopy / Q000379:methods; D004937:Esophageal Fistula / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D016896:Treatment Outcome