Tuberculosis and Respiratory Diseases
- 제46권5호
- /
- Pages.729-734
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- 1999
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- 1738-3536(pISSN)
- /
- 2005-6184(eISSN)
기관지확장증과 동반된 식도기관지루 1례
A Case of Broncho-esophageal Fistula Associated with Bronchiectasis
- 정혁준 (아주대학교 의과대학 호흡기내과) ;
- 구성현 (아주대학교 의과대학 호흡기내과) ;
- 이선민 (아주대학교 의과대학 호흡기내과) ;
- 박광주 (아주대학교 의과대학 호흡기내과) ;
- 황성철 (아주대학교 의과대학 호흡기내과) ;
- 이이형 (아주대학교 의과대학 호흡기내과) ;
- 한명호 (아주대학교 의과대학 호흡기내과) ;
- 김영진 (아주대학교 의과대학 흉부외과학교실) ;
-
이철주
(아주대학교 의과대학 흉부외과학교실)
;
- 이기범 (아주대학교 의과대학 해부병리학교실)
- Chung, Hyuck-Joon (Department of Pulmonology, Ajou University, College of Medicine) ;
- Ku, Sung-Hyun (Department of Pulmonology, Ajou University, College of Medicine) ;
- Lee, Sun-Min (Department of Pulmonology, Ajou University, College of Medicine) ;
- Park, Kwang-Joo (Department of Pulmonology, Ajou University, College of Medicine) ;
- Hwang, Sung-Chul (Department of Pulmonology, Ajou University, College of Medicine) ;
- Lee, Yi-Hyeong (Department of Pulmonology, Ajou University, College of Medicine) ;
- Han, Myung-Ho (Department of Pulmonology, Ajou University, College of Medicine) ;
- Kim, Yung-Jin (Department of Thoracic Surgery, Ajou University, College of Medicine) ;
-
Lee, Chul-Ju
(Department of Thoracic Surgery, Ajou University, College of Medicine)
;
- Lee, Ki-Bum (Department of Pathology, Ajou University, College of Medicine)
- 발행 : 1999.05.30
초록
저자들은 객혈을 주소로 내원한 35세의 남자 환자에서 기관지경, 식도내시경 및 식도조영술로 기관지확장증에 의한 식도기관지루를 진단하고, 수술적 치료를 시행한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Broncho-esophageal fistula(BEF) is an uncommon clinical entity which can cause severe suppurative lung disease. Acquired fistulas between the esophagus and tracheobronchial tree are relatively uncommon. They are caused by many diseases including malignancy and chronic inflammation such as tuberculosis and have favorable outcome with proper treatment To our knowledge, there has been no description of patients with BEF due to the bronchiectasis. We report a case of broncho-esophageal fistula in association with bronchiectasis in a 35-year-old male patient with hemoptysis. Bronchoscopy revealed mild bleeding from the superior segment of the right lower lobe without specific endobronchial lesion. Barium esophagogram could not confirm the fistula. The diagnosis of a broncho-esophageal fistula was established by an esophagogastroscopy using fistulogram and subsequent bronchoscopy, in which the communication between the bronchial tree and the esophagus was demonstrated by instilling dye selectively through the fistulous opening using esophagogastroscopy and visualizing the fistula and the bronchial tree. The patient was treated with resection of the right lower lobe, extirpation of the diverticulum and surgical closure of the bronchial defect and fistula, but he suffered from pneumonia thereafter and eventually expired due to sepsis and multiple organ failure.