Abstract
Adult non-malignant esophago-bronchial fistula is divided into two groups, i.e., congenital fistula due to malformation of the septum between the esophagus and bronchus and acquired fistula caused by injury, rupture of diverticulum, and so on. However in many cases it is difficult to differentiate congenital from acquired, even by the classification proposed by Brunner.
A 61-year-old woman was referred to our hospital with a diagnosis of esophago-bronchial fistula. Fistulectomy with right middle and lower lobectomy was done, but postoperative esophagography showed another esophago-bronchial fistula in a different part of the esophagus. Fistulectomy and a procedure using a pleural flap to cover the bronchial stump was done. Postoperative course was uneventful. This case was considered a useful one for considering the causes of adult non-malignant esophago-bronchial fistula.
