2002 Volume 35 Issue 2 Pages 151-155
A 59 year-old woman admitted to our hospital due to cough and sputum was diagnosed with pneumonia by X-ray. An upper gastrointestinal series (UGI) showed an esophagobronchial fistula in mass screening 18 months before admission. Minimal inflammatory change around the fistula was observed by computed tomography (CT). We evaluated the fistula as resectable thoracoscopically. Operative findings showed no severe adhesion, so we conducted diverticulectomy using endostapling. Microscopic findings of resected tissue revealed squamous epithelium covered with a muscle layer suggesting a congenital structure. The postoperative course was uneventful. This surgical procedure is thus recommended for patients with congenital esophagobronchial fistula with esophageal diverticulum.
