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J Thorac Cardiovasc Surg 2006;131:916-917
© 2006 The American Association for Thoracic Surgery

Brief Communication

Congenital bronchoesophageal fistula in an adult woman

Rafael Aguiló, MD, PhD a , * , Juan Minguella, MD, PhD a , Jaime Jimeno, MD a , Sonia Puig, MD a , José A. Galeras, MD b , Angel Gayete, MD, PhD c , José M. Sánchez-Ortega, MD, PhD a

a Servei de Cirurgia General, Abdominal, i Toràcica, Hospital del Mar, Institut Municipal d'Assitència Sanitària, Barcelona, Spain.
b Unitat d'Endoscòpia Digestiva, Hospital del Mar, Institut Municipal d'Assitència Sanitària, Barcelona, Spain.
c Unitat de Diagnòstic per l'Imatge, Hospital del Mar, Institut Municipal d'Assitència Sanitària, Barcelona, Spain.

Received for publication September 30, 2005; accepted for publication October 26, 2005.

* Address for reprints: Rafael Aguiló, MD, PhD, Servei de Cirurgia General, Abdominal, i Toràcica, Hospital del Mar, Institut Municipal d'Assitència Sanitaria, Barcelona, Spain. (Email: 95183@imas.imim.es).

The first 20% of the full text of this article appears below.

Tracheoesophageal or bronchoesophageal fistula (T/BEF), the abnormal communication between the esophagus and the tracheobronchial tree, may present at any time during the life span. In the neonate, T/BEF is a congenital malformation associated with some form of esophageal atresia in the vast majority of cases. 1,2 Go Later in life, most T/BEFs are acquired. 3,4 Go However rare, if the congenital T/BEF is not associated with esophageal atresia, it may remain silent until it eventually becomes symptomatic. Herein, we report the clinical case of a 53-year-old woman whose congenital T/BEF was diagnosed and treated at our institution.

Clinical Summary

The patient was referred to us as a result of a self-limited episode of minor hemoptysis of sudden onset. At anamnesis, she explained that she had experienced a pain in the upper abdomen 2 years before. Gallbladder stone disease and unilateral renal agenesia were diagnosed by echography, and chronic gastritis was diagnosed by esophagogastroscopy. She was then cholecystectomized . . . [Full Text of this Article]






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