Hajjar Waseem M, Althawadi Lamyaa A, Semaih Nada A Bin, Hajjar Adnan W, Al-Nassar Sami A
Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
J Coll Physicians Surg Pak. 2019 Dec;29(12):S148-S150. doi: 10.29271/jcpsp.2019.12.S148.
Benign acquired broncho-esophageal fistula (BEF) in adults is a very rare entity and has not been reported properly in the literature, compared to malignant BEF. Nonetheless, infection has predisposed most of the reported benign acquired BEF cases. We report here a case of tuberculous BEF, in a patient with a history of pulmonary tuberculosis (TB). He presented with recurrent chest infections, and choking. Upper gastrointestinal (GI) endoscopy showed BEF due to tuberculous mediastinal lymphadenopathy, and the patient was managed by surgery successfully. He was prepared for surgery for one month by nutritional support and anti-tuberculous treatment.
成人良性获得性支气管食管瘘（BEF）是一种非常罕见的疾病，与恶性BEF相比，在文献中尚未得到恰当报道。尽管如此，感染是大多数已报道的良性获得性BEF病例的诱发因素。我们在此报告一例患有肺结核病史患者的结核性BEF病例。他表现为反复的胸部感染和呛咳。上消化道内镜检查显示由于结核性纵隔淋巴结肿大导致的BEF，该患者通过手术成功治愈。通过营养支持和抗结核治疗，他为手术准备了一个月。
