Smith Chelsea, Bannon Mark, Ashraf Adrita, Kaushik Prashant, Marak Creticus
Department of Internal Medicine, House Staff, Northeastern Eastern Health System, Tahlequah, OK, USA.
Department of Medicine, Rheumatology, Oklahoma State University, Tahlequah, OK, USA.
Respir Med Case Rep. 2022 Mar 21;37:101634. doi: 10.1016/j.rmcr.2022.101634. eCollection 2022.
Bronchoesophageal fistula (BEF) is a rare condition caused by a fistulous connection between the bronchus and the esophagus. BEF can be acquired or congenital; congenital BEFs are rarely encountered in adults. Acquired BEF can be due to either a benign or a malignant process. Acquired BEF due to primary lung cancer is a life-threatening and usually a terminal complication. Unlike tracheoesophageal fistula, this condition is much rarer. Patients usually present with symptoms related to recurrent aspiration. Barium esophagogram is the initial diagnostic modality of choice. Treatment is primarily palliative. We are presenting a case of a bronchoesophageal fistula caused by non-small cell lung cancer that was successfully treated with concurrent chemoradiation therapy.
支气管食管瘘（BEF）是一种由支气管与食管之间的瘘管连接引起的罕见病症。BEF可后天获得或为先天性；先天性BEF在成人中很少见。后天性BEF可由良性或恶性病变引起。原发性肺癌导致的后天性BEF是一种危及生命且通常为终末期的并发症。与气管食管瘘不同，这种病症更为罕见。患者通常表现出与反复误吸相关的症状。食管钡餐造影是首选的初始诊断方法。治疗主要是姑息性的。我们报告一例由非小细胞肺癌引起的支气管食管瘘，该病例通过同步放化疗成功治愈。
