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波特氏脓肿导致的食管和气管同时瘘形成

Simultaneous Esophageal and Tracheal Fistulization Resulting From Pott's Abscess.

作者信息

Eroglu Atilla, Aydin Yener, Ogul Hayri, Altuntas Bayram

机构信息

Department of Thoracic Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.

Department of Thoracic Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.

出版信息

Ann Thorac Surg. 2016 Oct;102(4):e343-5. doi: 10.1016/j.athoracsur.2016.02.094.

Abstract

We describe a case of a 30-year-old woman who presented with a complaint of coughing while drinking water, which began 2 months earlier and was treated with surgical repair of esophageal and tracheal fistulization that resulted from a Pott's abscess. The patient had been diagnosed with pulmonary tuberculosis 4 years previously and had been treated for 6 months. Esophageal and tracheal fistulization of the abscess cavity was observed both radiologically and intraoperatively. The fistulas were closed through separate operations for the trachea and the esophagus. Simultaneous esophageal and tracheal fistulization of a Pott's abscess is a serious complication of spinal tuberculosis that has not been previously reported in the literature.

摘要

我们报告一例30岁女性患者,其主诉为饮水时咳嗽,该症状始于2个月前,经手术修复由波特氏脓肿导致的食管气管瘘得以治疗。患者4年前被诊断为肺结核并接受了6个月的治疗。通过影像学和术中观察均发现脓肿腔存在食管气管瘘。通过分别对气管和食管进行手术将瘘口封闭。波特氏脓肿同时合并食管气管瘘是脊柱结核的一种严重并发症,此前文献中未见报道。

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