Shimazu H, Konishi T, Shoji M, Miyazawa Y, Inoue S, Morioka Y, Yoshitake T, Asano K
Nihon Geka Gakkai Zasshi. 1983 Jul;84(7):643-7.
A case of congenital esophagobronchial fistula in a 46-year-old woman was described. The patient had presented with repeated attacks of pulmonary infection from her childhood and had been diagnosed pneumonia at least five or six times after the age of 18 years. Preoperative examinations including esophagogram by barium swallow revealed the existence of a fistula between middle thoracic esophagus and left B6 bronchus. The fistula was recognized as Type II of Braimbridge and Keith's classification, and successfully resected with left lower pulmonary lobe. Sixty-eight cases with congenital esophagobronchial fistula in adult including our own case have been reported in Japanese literature and about 70 cases in the literature of western countries. From the analysis of these cases, diagnostic basis on congenital origin of the fistula, useful diagnostic methods, types of the fistula and appropriate surgical procedures were discussed.
本文描述了一例46岁女性先天性食管支气管瘘病例。该患者自幼反复发生肺部感染，18岁后至少被诊断为肺炎五六次。术前检查包括吞钡食管造影，显示胸段中段食管与左B6支气管之间存在瘘管。该瘘管被认定为Braimbridge和Keith分类中的II型，并成功切除左下肺叶。日本文献报道了包括我们自己的病例在内的68例成人先天性食管支气管瘘病例，西方国家文献报道了约70例。通过对这些病例的分析，讨论了瘘管先天性起源的诊断依据、有用的诊断方法、瘘管类型和合适的手术程序。
