Abstract
Here, we have described a successfully treated case of congential esophagobronchial fistula in an adult with impaired pulmonary function. The patient was a 67-year-old woman who had spinal caries caused by tuberculosis. She had experienced coughing after eating for the past 20 years, and the symptom exacerbated since the age of 64 years. She was admitted to our hospital because esophagoscopy had shown an esophagobronchial fistula at the previous clinic. After failure of endoscopic therapy, right middle and lower lobectomy and fistulectomy were performed. The patient's postoperative course was uneventful, and she was discharged on the 16th postoperative day. Since the patient had shown obstructive impairment preoperatively, the operation could be performed safely by using ventilation and perfusion lung scintigraphy. We diagnosed congential esophagobronchial fistula (Braimbridge type I) on the basis of the operative and histopathological findings.
