title: [Congenital broncho-esophageal fistula in an elderly patient with lung abscess].
abstract: A 60-year-old man who had been treated for pneumonia by another hospital was suspected to have a broncho-esophageal fistula, and was referred to our hospital for surgical treatment. Chest computed tomography( CT) demonstrated a lung abscess. Upper gastrointestinal endoscopic examination demonstrated an esophageal diverticulum. He underwent the resection of the fistula and left lower lobectomy of lung under left thoracotomy. Operative findings showed no severe adhesion around fistula, suggesting its congenital origin, which was also pathologically supported later. He suffered from postoperative empyema by anaerobe infection, which was successfully controlled by open drainage.
authors.affiliation: Department of General Thoracic Surgery, Onomichi General Hospital, Onomichi, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Yamaki
authors.forename: Toshio
authors.initials: T
authors.lastname: Noriyuki
authors.forename: Kiyomi
authors.initials: K
authors.lastname: Shimoda
authors.forename: Syuji
authors.initials: S
authors.lastname: Yonehara
authors.forename: Michimasa
authors.initials: M
authors.lastname: Yuba
mesh_terms: D001983:Bronchial Fistula / Q000151:congenital*; D004937:Esophageal Fistula / Q000151:congenital*; D006801:Humans; D008169:Lung Abscess / Q000150:complications*; D008297:Male; D008875:Middle Aged