Unilateral bronchiectasis and esophageal dysmotility in congenital adult tracheoesophageal fistula.

M Behnia, R D Tarver

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Tracheoesophageal fistulas (TEF) in adults are most commonly neoplastic, and very rarely congenital in nature. We report a 45-year-old Hispanic male with TEF and initial presentation of minimal hemoptysis. The patient had radiographic evidence of unilateral upper lobe (RUL) bronchiectasis, massive esophageal dilatation, and dysmotility. However, there was no evidence of esophageal malignancy, achalasia, or Chagas' disease. Bronchoscopy revealed a large TEF in the posterior wall of trachea, which was not visualized on esophagram or esophagoscopy. Bronchoalveolar lavage (BAL) cultures grew Mycobacterium avium complex (MAC). Our report illustrates that idiopathic, or congenital, TEF can be associated with esophageal dysmotility, adulthood bronchiectasis, and atypical mycobacterial superinfection.;
Original languageEnglish (US)
Pages (from-to)620 - 623
JournalInternal Medicine (Tokyo, Japan)
Volume40
Issue number7
StatePublished - 2001

Keywords

  • Bronchiectasis/*etiology, Esophageal Motility Disorders/*etiology, Tracheoesophageal Fistula/*complications, Tracheoesophageal Fistula/*diagnosis, Tuberculosis/*complications, Humans, Male, Middle Aged, Mycobacterium avium/isolation & purification, Tracheoesophageal Fistula/congenital, Tracheoesophageal Fistula/radiography, Tuberculosis/diagnosis, Tuberculosis/microbiology

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