A 58-year-old man presented with cough, mainly while taking food, of recent origin. On investigation this proved to be the result of a fistulous communication between the esophagus and the right lower bronchus. Surgical treatment effected disappearance of the symptoms; and the congenital nature of the fistula was proven histopathologically. A high index of suspicion in all cases of recurrent cough at the time of deglutition is required to recognize this rare entity.
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References
1.
LandsenFTFalorWHOhioA.Congenital oesophago-respiratory fistula in the adult. Thorac Cardiovasc Surgery1960;39:246–51.
2.
AzoulayDRegnardJFMagdeleinatPDiamondTMirandaRLevasseurP.Congenital respiratory-oesophageal fistula in the adult. Report of nine cases and review of the literature. J Thorac Cardiovasc Surg1992;104:381–4.
3.
GerleRDJaretzkiAAskleyCABerneASCongenital bronchopulmonary foregut malformation pulmonary sequestration communicating with the gastrointestinal tract. N Engl J Med1968;278:1413–9.
4.
BraimbridgeMVKeithH.Oesophago-bronchial fistula in the adult. Thorax1965;20:226–33.
5.
BekoeSMagovernFJLublerGAParkSBCushingWJ. Congenital broncho oesophageal fistula in the adult. Chest1976;69:110–2.
