Lazopoulos G, Kotoulas C, Lioulias A
2nd Thoracic Surgery Department SOTIRIA Chest Diseases Hospital, Athens, Greece.
Eur J Cardiothorac Surg. 1999 Dec;16(6):667-9. doi: 10.1016/s1010-7940(99)00332-2.
Congenital bronchoesophageal fistulas, when not associated with esophageal atresia, are compatible with life and may persist until adulthood before diagnosis has been established. We report such a rare case of a 55-year-old Caucasian female with a history of repeated pulmonary infections, suffering from cough during the last 12 months due to a mass in the right lung. A bronchoesophageal fistula (type III according to Braimbridge and Keith classification) was incidentally discovered during thoracotomy which was resected and end-sutured. Following that, a right lower lobectomy was performed. The patient had an uneventful recovery. The final diagnosis of congenital bronchoesophageal fistula was established excluding all the reasons that lead to the acquired disease. The diagnostic and therapeutic procedures are analyzed and the relevant literature is reviewed.
先天性支气管食管瘘若不合并食管闭锁，可维持生命，在确诊之前可能一直持续到成年期。我们报告了这样一例罕见病例，一名55岁的白种女性，有反复肺部感染史，因右肺肿物在过去12个月一直咳嗽。在开胸手术中偶然发现了一个支气管食管瘘（根据Braimbridge和Keith分类为III型），将其切除并进行了端端缝合。随后，进行了右下肺叶切除术。患者恢复顺利。排除了所有导致后天性疾病的原因后，最终确诊为先天性支气管食管瘘。对诊断和治疗过程进行了分析，并回顾了相关文献。
