A Case of Esophago-mediatinal Fistula Due to Esophageal Tuberculosis. |
Eun Ho Park, Tae Won Jang, Mu In Park, Jun Young Song, In Su Choi, Chul Ho Oak, Maan Hong Jung, Jin Hwan Kwon |
1Department of Internal Medicine, College of Medicine, Kosin University, Pusan, Korea. jangtw@ns.kosinmed.or.kr 21Department of Radiology, College of Medicine, Kosin University, Pusan, Korea. |
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Abstract |
The esophagus is a rate site for rarely involved site of tuberculosis. The most common cause of esophageal tuberculosis is secondary involvement from adjacent tuberculous lymphadenitis. Esophago-nodal or esophagobronchial fistulas may be formed when tuberculous lymph nodes erode the adjacent esophageal or bronchial wall. We report a patient diagnosed with esophageal tuberculosis, which was complicated by an esophago-mediastinal fistula, by endoscopy, sputum acid fast bacilli (AFB) stain, chest computed tomography (CT), and an esophagogram. The patient was treated with antituberculous agents and chest CT and endoscopy showed that the fistula had closed completely. |
Key Words:
Tuberculosis, Esophagus-mediastinum |
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