Unilateral Bronchiectasis and Esophageal Dysmotility in Congenital Adult Tracheoesophageal Fistula
| Autor: | Robert D. Tarver, Mehrdad Behnia |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Fistula Achalasia Tracheoesophageal fistula Gastroenterology Bronchoscopy Internal medicine Internal Medicine Humans Tuberculosis Medicine Esophageal Motility Disorders Esophagus Bronchiectasis medicine.diagnostic_test business.industry Esophageal disease General Medicine Middle Aged medicine.disease Radiography medicine.anatomical_structure embryonic structures Esophageal dilatation business Mycobacterium avium Tracheoesophageal Fistula |
| Zdroj: | Internal Medicine. 40:620-623 |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | Tracheoesophageal fistulas (TEF) in adults are most commonly neoplastic, and very rarely congenital in nature. We report a 45-year-old Hispanic male with TEF and initial presentation of minimal hemoptysis. The patient had radiographic evidence of unilateral upper lobe (RUL) bronchiectasis, massive esophageal dilatation, and dysmotility. However, there was no evidence of esophageal malignancy, achalasia, or Chagas' disease. Bronchoscopy revealed a large TEF in the posterior wall of trachea, which was not visualized on esophagram or esophagoscopy. Bronchoalveolar lavage (BAL) cultures grew Mycobacterium avium complex (MAC). Our report illustrates that idiopathic, or congenital, TEF can be associated with esophageal dysmotility, adulthood bronchiectasis, and atypical mycobacterial superinfection. |
| Databáze: | OpenAIRE |
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