食道憩室を伴った食道気管支瘻の1例  [in Japanese] A CASE OF ESOPHAGO-BRONCHIAL FISTULA WITH AN ESOPHAGEAL DIVERTICULUM  [in Japanese]

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Abstract

症例は66歳の女性で, 30歳頃に食道憩室を指摘され,そのころより肺炎様症状を繰り返し,飲水時に咳嗽が出現することもあった.食道内視鏡検査で門歯より約30cmの右前壁に食道憩室を認め,その底部に瘻孔が存在し,造影剤を注入すると右中間幹気管支が描出されたため,食道憩室を伴う食道気管支瘻と診断された.後側方切開,第6肋間開胸下に瘻管切除を施行したが,肺切除は行わなかった.術後経過は良好で,飲水後の咳嗽は消失した.

A 66-year-old female began suffering from pneumonia occasionally from her when she was pointed out having an esophageal divesticulum. She also had having a cough at drinking water. After she was admitted to the hospital endoscopic examination revealed a diverticulum with a fistula at the right and anterior wall of the thoracic esophagus and 30 cm from the incisors. Fistulography showed that the fistula communicated with the right intermediate bronchus. Fistulectomy without pulmonary resection under standard thoracotomy was performed. Her postoperative course was uneventful and the cough after drinking has disappeared.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 57(6), 1356-1359, 1996-06-25

    Japan Surgical Association

References:  6

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008521854
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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