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10.5606/tgkdc.dergisi.2014.7034
Esophago-bronchocavitary fistula caused by a foreign body: the first case report in the literature
Yener Aydın1, Atilla Eroğlu1, Fatih Alper2, Mesut Özgökçe2
1Departments of Thoracic Surgery, Medical Faculty of Atatürk University, Erzurum, Turkey
2Departments of Radiology, Medical Faculty of Atatürk University, Erzurum, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.7034
Esophageal foreign bodies can be seen in all age groups,
particularly in childhood. A 40-year-old female patient
presented with a complaint of coughing while drinking water
which started six months ago. The patient was diagnosed with
schizophrenia five years ago without history of a foreign body.
An endoscopy detected a perforation (approximately 5 mm)
of the distal esophagus. After impregnating methylene blue,
bronchoscopy was made which showed that the mouth of right
lower lobe basal segment was smeared with methylene blue.
The right posterolateral thoracotomy revealed esophageal
perforation and a foreign body in the pulmonary cavity. The
esophageal perforation was repaired, and the bronchus was
closed. No postoperative complication was observed. Foreign
bodies rarely cause esophago-bronchocavitary fistula and they
may not be visualized through esophagoscopy. In such cases,
surgery is necessary for both removal of the foreign body and
closure of the esophagus and the bronchus.
Keywords : Esophago-bronchocavitary fistula; foreign body; surgery
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