Congenital tracheoesophageal fistula in an elderly patient with thoracic empyema

General Thoracic and Cardiovascular Surgery - Tập 57 - Trang 622-624 - 2009
Manabu Yasuda1, Takeshi Hanagiri1, Yoshinobu Ichiki1, Mitsuhiro Takenoyama1, Kenji Sugio1, Kosei Yasumoto1
1Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan

Tóm tắt

A congenital tracheoesophageal fistula is rare in elderly patients. An adult case of congenital tracheoesophageal fistula complicated with thoracic empyema was successfully treated by surgery. A 74-year-old woman was admitted with severe coughing and fever. The patient had experienced several episodes of pneumonia since childhood. Chest radiography showed left pleural effusion; and fiberoptic bronchoscopy and chest computed tomography demonstrated a tracheoesophageal fistula communicating between the upper intrathoracic esophagus and the distal portion of the trachea. Following tube drainage of the left thoracic empyema, transection of the fistula was performed. The postoperative course was uneventful, and she is doing well at 1 year after surgery without recurrence of the symptoms.

Tài liệu tham khảo

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