식도폐쇄를 동반하지 않은 선천성 기관식도로루의 치험 1예 보고

Congenital Tracheoesophageal Fistula without Atresia of the Esophagus

H type의 기관식도루 특히 성인에서 발견된 경우는 아주 드물다. 최근 영남대학교 의과대학 흉부외과학교실에서는 식도폐쇄를 동반하지 않은 선천성 기관식도루 1예를 수술치험하여 양호한 성적을 얻었기에 문헌고찰과 함께 보고하는 바이다.

The congenital tracheoesophageal fistula without atresia of the esophagus is considered a rare variant, and the literature concerned to the tracheoesophageal fistula without atresia, is little in adult especially. The 22-year-old male was admitted to Yeungnam University Hospital with his chief complaints of weight loss (6kg/6 months), abdominal discomfort, and intermittent coughing. The diagnosis was made by the endoscopy and esophagography. The fistula was 1.5cm in diameter, 0.5cm in length. The level was around second thoracic vertebra. The operation was performed transpleurally through the right third intercostal space and the fistula was secured with interrupted silk suture after division. The fibrotic adhesion was seen around the tracheoesophageal fistula. The postoperative course was uneventful, and postoperative esophagogram revealed ho extraluminal leakage. Herewith we report this unusual case of isolated tracheo-esophageal fistula with review of literatures.