Esophagobronchial Fistula: A Rare Complication of Long-standing Achalasia Cardia
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Date
2024-09
Journal Title
Journal ISSN
Volume Title
Publisher
Jaypee Brothers Medical Publishers Pvt. Ltd.
Abstract
Esophagobronchial fistula is a rare complication of long-standing achalasia cardia. We report the case of a 39-year-old lady with sigmoid esophagus with a esophagobronchial fistula who was managed by minimally invasive esophagectomy with gastric conduit and cervical esophago-gastric anastomosis. The esophagobronchial fistula was identified at the lower end of the dilated thoracic esophagus. The fistulous opening was primarily sutured with a cuff of esophageal wall after cauterizing the mucosa of the esophageal wall using bipolar energy source. Postoperatively, the air leak resolved spontaneously. There was no evidence of any malignancy in the resected specimen. The patient is doing well on follow-up.
Description
Keywords
Achalasia cardia, Case report, Esophagobronchial fistula, Sigmoid esophagus
Citation
Deshpande Gayatri A, Tirpude Bhupesh, Bhanarkar Hemant, Kodape Girish, Gajbhiye Raj . Esophagobronchial Fistula: A Rare Complication of Long-standing Achalasia Cardia . The Indian Journal of Chest Diseases and Allied Sciences. 2024 Sep; 66(3): 94-96