Aspiration Via Congenital Broncho-esophageal Fistula After Lobectomy

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Abstract:

Aspiration via a congenital broncho-esophageal fistula in an adult thoracotomy patient has not been previously reported. Repeated aspiration and subsequent respiratory failure if the fistula is not recognized could be life-threatening in these postoperative patients. We describe one such critical case, in which a broncho-esophageal fistula was discovered weeks after aspiration and the onset of respiratory failure after left lower lobectomy. This unusual case suggests that repeated localized pulmonary infections can indicate a broncho-esophageal fistula and that further investigations should be performed, including detailed history.

Keywords: bronchial fistula; bronchiectasis; esophageal fistula; surgery

Document Type: Research Article

DOI: http://dx.doi.org/10.4187/respcare.01116

Affiliations: Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China

Publication date: August 1, 2011

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