Shimada T, Abo S, Kitamura M, Hashimoto M, Shikama T, Kimura Y
Second Department of Surgery, Akita University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1992 Nov;40(11):2100-6.
We experienced a successful repair of congenital esophago-bronchial fistula communicated between esophageal diverticulum and left main bronchus in adult case. The patient was a 60-year-old female. She had much wet cough on taking meals since 10 years ago. At the mass screening, a esophago-bronchial fistula was detected by upper GI series. Barium esophagography revealed a fistula between esophageal diverticulum and left main bronchus. The resection of diverticulum and fistula were undergone. In the operation, there exited no adhesion or inflammation around the fistula, therefore it was easy to isorate from the surrounding tissues. This case was categorized as Brainbridge type I esophago-bronchial fistula communicated to left main bronchus. Forty-six cases of congenital esophago-bronchial fistula with diverticulum were reported in Japan, but no cases which communicated with left main bronchus were reported. Then it is assumed that this is the first case in Japan.
我们成功修复了一例成人先天性食管支气管瘘，该瘘位于食管憩室与左主支气管之间。患者为一名60岁女性。自10年前起，她进食时伴有大量湿性咳嗽。在大规模筛查中，上消化道造影检查发现了食管支气管瘘。钡剂食管造影显示食管憩室与左主支气管之间存在瘘管。遂进行了憩室和瘘管切除术。手术中，瘘管周围无粘连或炎症，因此很容易与周围组织分离。该病例被归类为与左主支气管相通的Brainbridge I型食管支气管瘘。日本曾报道过46例伴有憩室的先天性食管支气管瘘，但未报道过与左主支气管相通的病例。因此，推测这是日本首例此类病例。
