食堂憩室を伴った先天性食道気管支瘻の1例 CONGENITAL ESOPHAGOBRONCHIAL FISTULA WITH ESOPHAGEAL DIVERTICULUM : REPORT OF A CASE

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食道憩室を伴った先天性食道気管支瘻の1例を経験した.症例は61歳の女性で,腹痛の精査目的にて上部消化管造影検査を施行したところ食道憩室を伴った食道気管支瘻を認めた.手術は瘻管切除術を施行した.手術所見では胸部中部食道に憩室を認め,その先端より瘻孔が存在し,右葉と交通していた.病理組織学的には,(1)瘻孔周囲に炎症所見なく,(2)瘻孔部は重層扁平上皮から気管支円柱上皮に移行し,その下層には筋層を認め,(3)この移行部周辺には低形成な肺胞組織が認められた.本症は先天性食道気管支瘻と診断した.本邦では,食道憩室を伴う先天性食道気管支瘻は,本例を含め44例報告されているが,先天性であることの基準として上記3点が重要である.

We enconutered a successfully by repaired case of congenital esophagobronchial fistula with an esophageal diverticulum. A 61-year-old female underwent upper gastrointestinal series for close examination of an abdominal pain.<br> This examination revealed an esophagobronchial fistula with esophageal diverticulum. The removal of fistulous tract was carried out. The diverticulum existed at the middle intra-thoracic esophagus and it communicated to the right lower lobe of the bronchus. Histological findings of the resected fistula included: 1) that there was a smooth connection between squamous epithelium and columnar epithelium; 2) that the muscularis mucosa was maintained with no evidence of inflammatory changes; and 3) that immature alveolar was confirmed in the vicinity of the fistula. This case was diagnosed with congenital esophagobronchial fistula. In Japan 44 cases of congenital esophagobronchial fistula with esophageal diverticulum have been reported. It is assumed that three histological findings as mentioned above are important for making the diagnosis of congenital esophagobronchial fistula.

収録刊行物

  • 日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society

    日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society 57(12), 2984-2988, 1996-12-25

    Japan Surgical Association

参考文献:  11件中 1-11件 を表示

被引用文献:  2件中 1-2件 を表示

各種コード

  • NII論文ID(NAID)
    10008525533
  • NII書誌ID(NCID)
    AN00198696
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03869776
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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