Colobronchial fistula as a late complication of coloesophageal interposition.

A 20-yr-old man developed recurrent respiratory symptoms and left lower lobe pneumonia 14 yr after long-segment colonic interposition for corrosive esophageal injury. A fistula, from a redundant supradiaphragmatic pouch of colon to a subsegmental bronchus of the lower lobe of the left lung, was discovered and treated successfully with surgical resection. This previously unreported complication, therefore, should be considered in patients who develop respiratory symptoms after coloesophageal interposition.