title: Case of bronchoesophageal fistula with gastric perforation due to multidrug-resistant tuberculosis.
abstract: Gastric perforation and tuberculous bronchoesophageal fistula (TBEF) are very rare complications of extrapulmonary tuberculosis (TB). We present a case of pulmonary TB with TBEF and gastric perforation caused by a multidrug-resistant tuberculosis strain in a non-acquired immune deficiency syndrome male patient. The patient underwent total gastrectomy with Roux-en-Y end-to-side esophagojejunostomy and feeding jejunostomy during intravenous treatment with anti-TB medication, and esophageal reconstruction with colonic interposition and jejunocolostomy were performed successfully after a full course of anti-TB medication. Though recent therapies for TBEF have favored medication, patients with severe stenosis or perforation require surgery and medication with anti-TB drugs based upon adequate culture and drug susceptibility testing.
authors.affiliation: Chan Sung Park, Kwang won Seo, Department of Internal medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea.
authors.forename: Chan Sung
authors.initials: CS
authors.lastname: Park
authors.affiliation: Chan Sung Park, Kwang won Seo, Department of Internal medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea.
authors.forename: Kwang Won
authors.initials: KW
authors.lastname: Seo
authors.affiliation: Chan Sung Park, Kwang won Seo, Department of Internal medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea.
authors.forename: Chang Ryul
authors.initials: CR
authors.lastname: Park
authors.affiliation: Chan Sung Park, Kwang won Seo, Department of Internal medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea.
authors.forename: Yang Won
authors.initials: YW
authors.lastname: Nah
authors.affiliation: Chan Sung Park, Kwang won Seo, Department of Internal medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea.
authors.forename: Jae Hee
authors.initials: JH
authors.lastname: Suh
keywords: Bronchoesophageal fistula; Extrapulmonary tuberculosis; Gastric perforation; Multidrug-resistant tuberculosis; Treatment