Tuberc Respir Dis.  1990 Mar;37(1):115-121. 10.4046/trd.1990.37.1.115.

Bronchoesophageal Fistula (BEF) due to Tuberculous Lymphadenitis -A Case of Report-

• KMID: 2528520
• DOI: http://doi.org/10.4046/trd.1990.37.1.115

Abstract

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.