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Case Report
 
A rare case of congenital esophagobronchial fistula in an adult
V. YaminiChitra1, K. N. Paramesh1, Alamelu Haran2, Nitin D. Tengli4
1MS, (General Surgery), DNB, MCH (Surgical Gastroenterology), Associate Professor, Dept of Surgical Gastroenterology and Bariatric centre, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
2MS, (General Surgery), (DNB Surgical Gastroenterology), Senior Resident, Dept of Surgical Gastroenterology and Bariatric Centre, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
3MD (Tuberculosis and Chest Diseases), Professor and HOD, Department of Pulmonary Medicine Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
4MS, (General Surgery) Senior Resident, Department of Surgical Gastroenterology and Bariatric Centre, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.

doi:10.5348/ijcri-201513-CR-10474

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V. YaminiChitra
Associate Professor,Department of Surgical Gastroenterology and Bariatric Centre, Vydehi Institute of Medical Sciences and Research Centre
Bangalore, Karnataka
India. #82
Nallurahalli, Whitefield, Bangalore, Karnataka, India, Postal Code 560 066
Phone: +919611108242
Fax: 08028412956

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How to cite this article
YaminiChitra V, Paramesh KN, Haran A, Tengli ND. A rare case of congenital esophagobronchial fistula in an adult. Int J Case Rep Images 2015;6(2):70–75.


Abstract
Introduction: Congenital esophagobronchial fistulas in adults are extremely rare, acquired fistulas being more common. The aim of this paper was to present a rare case of congenital esophagobronchial fistula in a 37-year-old male of type II Braimbridge's classification and to emphasize on the diagnostic modality of choice and the appropriate mode of treatment.
Case Report: A 37-year-old male presented with chronic cough with ingestion of food, especially liquids of 13 years duration and recent onset hemoptysis. He was evaluated with upper gastrointestinal endoscopy, bronchoscopy, computed tomography scan of chest and the definitive test was barium swallow which confirmed it. He underwent transthoracic excision of the fistula with repair of both esophageal and bronchial ends. A peroperative endoscopy helped localization of the tract. Postoperative outcome was excellent with no leak and patient is totally asymptomatic after 12 weeks of surgery.
Conclusion: Congenital esophagobronchial fistulas in adults, due to insidious nature need high index of suspicion as early diagnosis by barium swallow and surgical treatment gives excellent results. Peroperative endoscopy is mandatory to localize the tracts, helps do an intraoperative leak test and avoid esophageal stenosis during repair.

Keywords: Barium swallow, Congenital esophagobronchial fistula, Peroperative endoscopy, Transthoracic excision


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Author Contributions
V. Yamini Chitra – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
K. N. Paramesh – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Alamelu Haran – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Nitin Tengli – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 V. Yamini Chitra et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

V. YaminiChitra is an Associate Professor at Department of Surgical Gastroenterology and Bariatric centre Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India. She earned the undergraduate degree Bachelor of Medicene and Bachelor of Surgery from Coimbatore Medical college, Dr. MGR medical University, India and postgraduate degree Master of Surgery from Stanley Medical college, Chennai, Dr. MGR medical University, India. She has got Diplomate in Surgery (DNB) from National Board of Examinations, India and Master of Chirurgery in Surgical Gastroenterology from Madras Medical College, Dr. MGR medical University, India. Her research interests include hepatobiliary and pancreatic surgeries, specifically benign biliary strictures, chronic calcific pancreatitis.



K. N. Paramesh is Senior resident, Department of Surgical Gastroenterology and Bariatric centre, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India. He earned the undergraduate degree Bachelor of Medicene and Bachelor of Surgery from Sri Devaraj Urs Medical college and research centre, RGUHS medical University, Kolar, India and postgraduate degree Master of Surgery from BLDEA, S Shri BM patil medical college and research centre, Bijapur under RGUHS medical University,Karnataka, India. He has undergone DNB in surgical gastroenterology from Gem hospipital and reseach centre, Coimbatore, National Board of Examinations, India. He has published few paper in national journals. His research interests include advanced laparoscopy in gastrointestinal cancer, hepatobiliary and pancreatic surgeries and bariatric surgery.



Alamelu Haran is Professor & HOD, Department of Pulmonary medicine Vydehi Institute of Medical Sciences And Research Centre, Bangalore, Karnataka, India. She earned the undergraduate degree Bachelor of Medicine and Bachelor of Surgery from Grant medical college, Mumbai. Bombay University, India ) and postgraduate degree MD (Tuberculosis and Chest Diseases), from Topiwala National Medical College, Mumbai. Bombay University, India. Her research interests include pulmonary function tests, Sleep medicine and Bronchoscopy.



Nitin D. Tengli is Senior resident, Department of Surgical Gastroenterology and Bariatric centre, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India. He earned the undergraduate degree Bachelor of Medicene and Bachelor of Surgery from Mahadevappa Rampura Medical college, RGUHS medical University,Gulbarga, India and postgraduate degree Master of Surgery from Mahadevappa Rampura Medical college, RGUHS medical University, Gulbarga, India.