Yasuda Manabu, Hanagiri Takeshi, Ichiki Yoshinobu, Takenoyama Mitsuhiro, Sugio Kenji, Yasumoto Kosei
Second Department of Surgery, University of Occupational and Environmental Health, Iseigaoka, Yahatanishi-ku, Kitakyushu, Japan.
Gen Thorac Cardiovasc Surg. 2009 Nov;57(11):622-4. doi: 10.1007/s11748-009-0450-0. Epub 2009 Nov 12.
A congenital tracheoesophageal fistula is rare in elderly patients. An adult case of congenital tracheoesophageal fistula complicated with thoracic empyema was successfully treated by surgery. A 74-year-old woman was admitted with severe coughing and fever. The patient had experienced several episodes of pneumonia since childhood. Chest radiography showed left pleural effusion; and fiberoptic bronchoscopy and chest computed tomography demonstrated a tracheoesophageal fistula communicating between the upper intrathoracic esophagus and the distal portion of the trachea. Following tube drainage of the left thoracic empyema, transection of the fistula was performed. The postoperative course was uneventful, and she is doing well at 1 year after surgery without recurrence of the symptoms.
先天性气管食管瘘在老年患者中较为罕见。1例成年先天性气管食管瘘合并胸腔积脓患者经手术成功治愈。一名74岁女性因严重咳嗽和发热入院。该患者自童年起就经历过数次肺炎发作。胸部X线片显示左侧胸腔积液；纤维支气管镜检查和胸部计算机断层扫描显示，胸段上段食管与气管远端之间存在气管食管瘘。在对左侧胸腔积脓进行置管引流后，实施了瘘管横断术。术后过程顺利，术后1年她情况良好，症状未复发。
