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Tuberc Respir Dis.  2015 Jul;78(3):286-288. 10.4046/trd.2015.78.3.286.

Fistula Formation between Right Upper Bronchus and Bronchus Intermedius Caused by Endobronchial Tuberculosis: A Case Report

Affiliations
  • 1Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. drahnjy@chungbuk.ac.kr
  • 2Department of Radiology, Chungbuk National University College of Medicine, Cheongju, Korea.

Abstract

Endobronchial tuberculosis is defined as a tuberculous infection of the tracheobronchial tree and has a prevalence of up to 50% in active pulmonary tuberculosis cases. The most common complication of endobronchial tuberculosis is bronchial stenosis; benign fistula formation by endobronchial tuberculosis is rare, especially inter-bronchial fistula formation. We reported a rare case of a 73-year-old woman with a fistula between the right upper bronchus and bronchus intermedius. A diagnosis of inter-bronchial fistula caused by endobronchial tuberculosis was based on the results of chest computed tomography scans, bronchoscopy, and microbiological and pathological tests. The patient was treated with anti-tuberculous medication, and her symptoms gradually improved.

Keyword

Tuberculosis; Fistula; Tomography, X-Ray Computed; Bronchoscopes

MeSH Terms

Aged
Bronchi*
Bronchoscopes
Bronchoscopy
Constriction, Pathologic
Diagnosis
Female
Fistula*
Humans
Prevalence
Thorax
Tomography, X-Ray Computed
Tuberculosis*
Tuberculosis, Pulmonary
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