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Review
. 2021 Feb;49(2):300060521992234.
doi: 10.1177/0300060521992234.

Bronchoesophageal fistula secondary to esophageal diverticulum in an adult: a case report and literature review

Xiaolin Zhang  1 , Hongmei Jiao  1 , Xinmin Liu  1
Affiliations
Review

Bronchoesophageal fistula secondary to esophageal diverticulum in an adult: a case report and literature review

Xiaolin Zhang et al. J Int Med Res. 2021 Feb.

Abstract

Esophageal diverticulum with secondary bronchoesophageal fistula is a rare clinical entity that manifests as respiratory infections, coughing during eating or drinking, hemoptysis, and sometimes fatal complications. In the present study, we describe a case of bronchoesophageal fistula emanating from esophageal diverticulum in a 45-year-old man who presented with bronchiectasis. We summarize the characteristics of this rare condition based on a review of the relevant literature.

Keywords: Esophageal diverticulum; bronchiectasis; bronchoesophageal fistula; congenital BEF; literature review; postprandial cough.

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Conflict of interest statement

Declaration of conflicting interests: The authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
Computed tomography scan revealed bronchial dilatation in the dorsal segment of the left lower lobe with chronic pulmonary abscess surrounding it. A suspected fistulous communication between the middle esophagus and the left intermediate bronchus was indicated. There was no mediastinitis or lymphadenopathy.
Figure 2.
Figure 2.
A Lipiodol (iodine) swallow revealed a medium-sized diverticulum at the left lateral aspect of the esophagus, which had developed a fistulous connection with the left lower lobe bronchus.
Figure 3.
Figure 3.
Esophagoscopy showed the diverticulum 33 cm from the upper incisors, with a 3-mm fistulous orifice arising from its apex.
See this image and copyright information in PMC

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