Successful Surgical Closure of an Esophagobronchial Fistula Caused by a Foreign Body in the Esophagus of a Female Octogenarian with a Delayed Diagnosis: A Case Report.

Takahiro Yanagihara, Hideo Ichimura, Keisuke Kobayashi, Yukio Sato
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引用次数: 2

Abstract

Esophagobronchial fistula (EBF) caused by an esophageal foreign body is rare in adults. All surgical interventions in the reported cases were performed via right thoracotomy. We have successfully treated an 88-year-old woman with EBF caused by a thick 2 × 2 cm piece of cake decorating paper that was swallowed accidentally. There was a 2-month interval between ingestion of the foreign body and correct diagnosis. The bronchial opening of the EBF was on the cephalic wall of the proximal left main bronchus (LMB), so we planned a primary repair of the bronchial wall with sutures via left thoracotomy. We performed a division of the fistula and primary closure of the openings on the esophageal and bronchial walls and covered the suture sites with an intercostal muscle flap and pericardial fat, respectively. The patient resumed oral intake on postoperative day 11 and was subsequently transferred to other hospital for rehabilitation.

Abstract Image

Abstract Image

一位延迟诊断的八旬女性食管异物引起的食管支气管瘘手术成功闭合一例报告。
食管支气管瘘(EBF)是由食管异物引起的,在成人中是罕见的。所有病例均采用右开胸手术。我们成功治疗了一位88岁的女性,她因不小心吞下一块厚的2 × 2厘米的蛋糕装饰纸而引起EBF。从摄入异物到正确诊断有2个月的时间间隔。EBF的支气管开口位于左主支气管近端(LMB)的头壁上,因此我们计划通过左开胸术缝合支气管壁进行初级修复。我们对食管和支气管壁上的瘘口进行了分割和初步闭合,并分别用肋间肌瓣和心包脂肪覆盖缝合部位。患者术后第11天恢复口服,随后转至其他医院康复。
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