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Fístula broncoesofágica y broncolitiasis
Bronchoesophageal fístula and broncholithiasis
J. Carvajal Balaguera*,1, S. Mallagray Casas*, R. Martínez Cruz**, A. Dancausa Monge**
* Servicio de Cirugía General y Torácica. Hospital Central Cruz Roja
** Servicio de Neumología. Hospital Universitario de Getafe. Madrid
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      "en" => array:1 [
        "titulo" => "Bronchoesophageal f&#237;stula and broncholithiasis"
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            0 => "F&#237;stula broncoesof&#225;gica adquirida"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las f&#237;stulas broncoesof&#225;gicas &#40;FBE&#41; benignas en el adulto&#44; tanto de origen cong&#233;nito como adquirido&#44; son entidades poco frecuentes&#44; pero la perforaci&#243;n broncoesof&#225;gica secundaria a broncolitiasis&#44; debida a adenopat&#237;as mediast&#237;nicas calcificadas dejando un trayecto fistuloso&#44; es un proceso excepcional&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Nosotros presentamos un caso de una FBE en una paciente de 57 a&#241;os de edad&#44; que se inici&#243; con tos&#44; expectoraci&#243;n de broncolitos&#44; hemoptisis y tos tras la ingesta de alimentos l&#237;quidos y s&#243;lidos&#46; La radiograf&#237;a y la TAC del t&#243;rax mostraron adenopat&#237;as mediast&#237;nicas calcificadas&#46; La endoscopia esof&#225;gica fue normal&#46; El esofagograma mostr&#243; un trayecto fistuloso a nivel de 1&#47;3 medio del es&#243;fago justo debajo de la carina&#46; La broncoscopia se&#241;al&#243; una &#225;rea polipoide localizada en la cara medial del bronquio principal derecho&#46; No hubo signos histol&#243;gicos de malignidad&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La paciente se intervino quir&#250;rgicamente&#46; Se extirp&#243; el trayecto fistuloso interponiendo una banda de pleura tras realizar una toracotom&#237;a posterolateral derecha&#46; El postoperatorio curs&#243; sin incidencia y se encuentra en la actualidad libre de s&#237;ntomas&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Bronchoesophagel f&#237;stulas &#40;BEF&#41; in an adult&#44; wether acquired or congenital&#44; are uncommon but bronchoesophageal perforation secondary to broncholithiasis caused by calcified mediastinal adenopaty and leading to the formation of a fistulous tract is extremely rare&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We present a case of acquired BEF in a 57-years-old women who presented cough with expectoration of broncholithos&#44; hemoptysis and cough after swalloing liquid or solid foods&#46; The chest film and computed tomographic sean showed calcified mediastinal adenopathy&#46; Endoscopic examination of the esophagus revealed no mucosal abnormality&#46; A bronchial esophageal f&#237;stula was identified at the level of the 1&#47;3 midesophagus just helo&#187; the carina in the esophagogram&#46; The bronchoscopy showed a polypoid area located in the medial side of the right main bronchus&#46; There was no evidence of neoplasm&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The patient underwent excision of f&#237;stula and interposition of pleural bundle after completing a right posterolateral thoracotomy&#46; The postoperative course was uneventful and the patient has been doing well on follow-up&#46;</p></span>"
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Article information
ISSN: 03002896
Original language: Spanish
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