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. 2016:28:74-77.
doi: 10.1016/j.ijscr.2016.09.013. Epub 2016 Sep 21.

Thoracoscopic treatment of a broncho-esophageal fistula: A case report

Giorgio C Ginesu  1 , Claudio F Feo  2 , Maria L Cossu  3 , Francesca Ruiu  4 , Francesca Addis  5 , Alessandro Fancellu  6 , Alessandro G Fois  7 , Panagiotis Paliogiannis  8 , Alberto Porcu  9
Affiliations

Thoracoscopic treatment of a broncho-esophageal fistula: A case report

Giorgio C Ginesu et al. Int J Surg Case Rep. 2016.

Abstract

Introduction: Broncho-esophageal fistula is a rare clinical condition which can be manifested with non-specific signs and symptoms.

Presentation of a case: Here, we report an adult case of a broncho-esophageal fistula in a 43-year-old man referred for chronic cough after fluid food intake and weight loss. Barium swallow, esophagogastroduodenoscopy, bronchoscopy and Computed Tomography of the chest demonstrated a broncho-esophageal fistula between the apical segmental bronchus of the lower right lobe and the middle section of the esophagus. The patient underwent video-assisted thoracoscopic surgery for resection of the fistula. No post-operative complications occurred.

Discussion: Broncho-esophageal fistula in adults is rare and its diagnosis is often delayed due to the frequent lack of specific symptoms. Although there is no standard protocol, the most widely used treatment is thoracotomy with identification and dissection of the fistula tract followed by repair of bronchial and esophageal defects.

Conclusions: Video-assisted thoracoscopic surgery appears to be an effective and minimally invasive approach for the treatment of broncho-esophageal fistulas, especially in young, healthy subjects.

Keywords: Adult; Broncho-esophageal fistula; Case report; Video-assisted thoracic surgery.

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Figures

Fig. 1
Fig. 1
(a) Baroncho-esophageal fistula between the middle section of the esophagus and the apical segment bronchus of the lower right lobe demonstrated at X-ray with water-soluble contrast medium. (b) CT scan 3D rendering confirmed the diagnosis of broncho-esophageal fistula.
Fig. 2
Fig. 2
X-ray of the upper digestive tract with water-soluble contrast performed the day after the operation showed no fistula tract.
See this image and copyright information in PMC

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