Benign Broncho-esophageal Fistula Presenting as Unresolved

J Coll Physicians Surg Pak · Dec 2019

Case Reports

Benign Broncho-esophageal Fistula Presenting as Unresolved Pneumonia.

Benign acquired broncho-esophageal fistula (BEF) in adults is a very rare entity and has not been reported properly in the literature, compared to malignant BEF. Nonetheless, infection has predisposed most of the reported benign acquired BEF cases. ⋯ Upper gastrointestinal (GI) endoscopy showed BEF due to tuberculous mediastinal lymphadenopathy, and the patient was managed by surgery successfully. He was prepared for surgery for one month by nutritional support and anti-tuberculous treatment.

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- Waseem M Hajjar, Lamyaa A Althawadi, Nada A Bin Semaih, Adnan W Hajjar, and Sami A Al-Nassar.
- Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
- J Coll Physicians Surg Pak. 2019 Dec 1; 29 (12): S148-S150.
AbstractBenign acquired broncho-esophageal fistula (BEF) in adults is a very rare entity and has not been reported properly in the literature, compared to malignant BEF. Nonetheless, infection has predisposed most of the reported benign acquired BEF cases. We report here a case of tuberculous BEF, in a patient with a history of pulmonary tuberculosis (TB). He presented with recurrent chest infections, and choking. Upper gastrointestinal (GI) endoscopy showed BEF due to tuberculous mediastinal lymphadenopathy, and the patient was managed by surgery successfully. He was prepared for surgery for one month by nutritional support and anti-tuberculous treatment.

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Benign Broncho-esophageal Fistula Presenting as Unresolved Pneumonia.

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