Broncho-oesophageal fistula

Case contributed by Dr Vincent Tatco

Presentation

Known case of bronchiectasis of the left lung. Patient presented with cough after the ingestion of food.

Patient Data

Age: 35
Gender: Male
Modality: CT

Cystic bronchiectasis, some with mucous plugging, fibrosis, cicatricial atelectasis, and minimal calcifications are demonstrated in the lingula of the left upper lobe and basal segments of the left lower lobe.

There are reticulonodular and patchy ground glass opacities in the left lower lobe and lingula and minimal patchy ground glass opacities in the posterior segment of the right upper lobe likely due to ongoing infection.  

The entire oesophagus is markedly dilated.  There is a 2.0-mm communication between the left mainstem bronchus and dilated oesophagus. Findings are consistent with broncho-oesophageal fistula.

 

Modality: Barium

On barium swallow, there is demonstration of a small communication between the dilated esophagus and left mainstem bronchus with pooling of contrast in the left lower lobe bronchus.

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Case Information

rID: 41890
Case created: 24th Dec 2015
Last edited: 16th Feb 2017
System: Chest
Inclusion in quiz mode: Included

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