Sode Y, Miyazawa M, Miyazaki T
Department of Chest Surgery, Nagano Red Cross Hospital, Japan.
Kyobu Geka. 1996 Oct;49(11):956-8.
A 45-year-old female with congenital esophago-bronchial fistula was reported. She had suffered from common cold and recurrent bouts of coughing during meals since infancy. An esophago-bronchial fistula was detected by esophagography accidentally. The fistula was connected with right lower lobe bronchus (B6). CT scan showed the cystic change of the right lower lobe. The fistula was surgically removed and right lower lobe lobectomy was carried out. The adhesion of the lower lobe to the chest wall was recognized, but there were no inflammatory signs around the fistula. The isolation of the fistula was very easy. The postoperative course was uneventful.
报告了一名45岁患有先天性食管支气管瘘的女性。自婴儿期起,她就患有普通感冒,且进食时反复咳嗽。食管造影意外发现了食管支气管瘘。该瘘与右下叶支气管(B6)相连。CT扫描显示右下叶有囊性改变。手术切除了瘘管并进行了右下叶肺叶切除术。发现下叶与胸壁粘连,但瘘管周围无炎症迹象。瘘管的分离非常容易。术后过程顺利。