PMC4896175_01
59-year-old woman with congenital bronchoesophageal fistula. Noncontrast axial CT (mediastinal windows) through subcarinal region shows small air collection between the right mainstem bronchus and the esophagus.
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59-year-old woman with congenital bronchoesophageal fistula. Noncontrast axial CT (lung windows) through subcarinal region shows small air collection between the right mainstem bronchus and the esophagus.
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Figure 2). A virtual endoluminal view of the data also nicely demonstrated the orifice of the fistula (Figure 3). Further evaluation with an esophagogram as well as endoscopy and bronchoscopy were recommended.
59-year-old woman with congenital bronchoesophageal fistula. Endoluminal three dimensional CT image from the vantage point of the trachea, peering down towards the right main bronchus, demonstrates the orifice of the bronchoesophageal fistula.
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Figure 2). A virtual endoluminal view of the data also nicely demonstrated the orifice of the fistula (Figure 3). Further evaluation with an esophagogram as well as endoscopy and bronchoscopy were recommended.
59-year-old woman with congenital bronchoesophageal fistula. Barium esophogram shows the fistula between the esophagus and the right mainstem bronchus.
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One day after the CT was performed a barium esophagogram revealed prompt filling of a thin fistula between the mid-esophagus and the right mainstem bronchus (Figure 4).
59-year-old woman with congenital bronchoesophageal fistula. Intraoperative photo shows the bronchoesophageal fistula prior to ligation.
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The patient underwent a right posterolateral thoracotomy with ligation of the bronchoesophageal fistula using staples (Figure 5).