Aspiration via congenital broncho-esophageal fistula after lobectomy.

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.

• Authors: Xue-Fei Hu, Chang Chen, Liang Duan, Yi Zhang, Wen Gao
• Journal: Respiratory care (Respir Care) Vol. 56 Issue 8 Pg. 1195-7 (Aug 2011) ISSN: 0020-1324 [Print] United States
• PMID: 21496371 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Bronchial Fistula (complications, congenital)
• Bronchiectasis (surgery)
• Bronchoscopy
• Diagnosis, Differential
• Esophageal Fistula (complications, congenital)
• Follow-Up Studies
• Humans
• Male
• Pneumonectomy
• Postoperative Complications
• Respiratory Insufficiency (diagnosis, etiology)
• Tomography, X-Ray Computed