Broncho-Oesophageal Fistula Complicating Carcinoma of the Oesophagus

Broncho-Oesophageal Fistula Complicating Carcinoma of the Oesophagus

Moemenam O.O1, Madukaife V. O2, Ray-Offor OD2

1Department of Radiology, Federal Medical Centre, Owerri. Imo State.
2Department of Radiology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State

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Broncho-oesophageal fistula refers to an abnormal communication between a bronchus and the oesophagus. Broncho-oesophageal fistula is rare and can be either congenital or acquired. Congenital fistulas are usually diagnosed in the neonatal period as they present with respiratory distress and cyanosis during feeding. Whereas developmental anomaly is the commonest cause in infancy and childhood, the aetiology in adults is most frequently secondary to an oesophageal malignancy1. Non-malignant causes of fistulae are rare. Diagnosis of a broncho-oesophageal fistula may sometimes be difficult because of an insidious and non-specific clinical course2.
A rare case of broncho-oesophageal fistula due to carcinoma of the oesophagus, which was discovered incidentally during a barium swallow study is presented.
A 68-year-old man with dysphagia who was diagnosed to have carcinoma of the oesophagus, which was complicated by broncho-oesophageal fistula is presented. The role of radiology in the management of this condition is discussed.
Conflict of Interest: The authors have no conflict of interest to disclose.

Keywords: Broncho-Oesophageal Fistula Complicating Carcinoma, Oesophagus

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How to cite this article:
Moemenam O.O, Madukaife V. O, Ray-Offor OD. Broncho-Oesophageal Fistula Complicating Carcinoma of the Oesophagus. International Journal of Case Reports, 2018 3:37. DOI:10.28933/ijcr-2018-10-0501


1 Sebastian S, Parker JO, Lynn RB. Acquired esophagobronchial fistulas in adults. Can Med Assoc J. 1969; 101:40-2.
2 Bhati G, Pottakkat B, Kalayarasan R, Barathi D, Mohan P. Tuberculous bronchoesophageal fistula: A case report. Int J Adv Med Health Res. 2014; 1:81-3.
3 Hegde RG, Kalekar TM, Gajbhiye MI, Bandgar AS, Pawar SS, Khadse GJ. Esophagobronchial fistulae: Diagnosis by MDCT with oral contrast swallow examination of a benign and a malignant cause. Indian J Radiol Imaging. 2013; 23:168-72.
4 Reed MF, Mathisen DJ. Tracheoesophageal fistula. Chest Surg Clin N Am. 2003; 13:271-89.
5 Argüder E, Aykun G, Karalezli A et-al. Bronchoesophageal fistula. J Bronchology Interv Pulmonol. 2012; 19:47-9.
6 Ahn JY, Jung HY, Choi JY, Kim MY, Lee JH, Choi KS, et al. Benign bronchoesophageal fistula in adults: Endoscopic closure as primary treatment. Gut Liver. 2010; 4:508-13.
7 Lim KH, Lim YC, Liam CK, Wong CM. A 52-year-old woman with recurrent hemoptysis. Chest. 2001; 119:955-7.
8 Im JG, Kim JH, Han MC, Kim CW. Computed tomography of esophagomediastinal fistula in tuberculous mediastinal lymphadenitis. J Comput Assist Tomogr. 1990; 14:89-92.
9 Baisi A, Bonavina L, Narne S, Peracchia A. Benign tracheoesophageal fistula: Results of surgical therapy. Dis Esophagus. 1999; 12:209-11.
10 Kim SH, Lee KS, Shim YM, Kim K, Yang PS, Kim TS. Esophageal resection: Indications, techniques and radiologic assessment. Radiographics. 2001; 21:1119-40.
11 Moses FM, Wong RK. Stents for esophageal disease. Curr Treat Opt Gastroenterol. 2002; 5:63-71.

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