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KMID : 0383819900370010115
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Tuberculosis and Respiratory Diseases
1990 Volume.37 No. 1 p.115 ~ p.121
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Bronchoesophageal Fistula (BEF) due to Tuberculous Lymphadenitis
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Abstract
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We experienced one case of the bronchoesophageal fistula due to tuberculous
lymphadenitis, which was surgically treated. The patient was 76 years old female patient
who suffered from swallowing difficulty and frequent cough especially during
swallowing for 7 months. Esophagogram showed BEF at right main bronchus just below
carina. Fiberoptic bronchoscopic biopsies did not reveal the evidence of carcinoma on the
right main bronchus. But explothoracotomy and right pneumonectomy were performed
and the repair of the esophageal fistula and the wrapping procedure on the site of
fistula with mediastinal pleura were added under the impression of BEF with lung
carcinoma under the impression of the BPF with lung cancer or destroyed lung at 31th
December 1988.
The post-operative pathologic report revealed pulmonary tuberculosis of the right lung
and tuberculous lymphadenitis of the subcarinal lymph node. The post-operative
esophagogram showed esophageal leakage again. The patient were taken the insertion of
the esophageal prosthesis for the closure of the perforation site and tube gastrostomy
for the alimentation because the patient was in poor cachectic condition. The
gastrostomy tube were removed at the post-operative 2 months when the patient could
swallow the foods without difficulty. The patient has been treated with antituberculous
medicine for 12 months with the insertion state of esophageal prosthesis and open
drainage state for the post-pneumonectomy empyema thoracis, right in good condition.
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