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Ann Thorac Surg 2005;79:1776-1777
© 2005 The Society of Thoracic Surgeons

Case report

Congenital Bronchoesophageal Fistula in a Patient With Crohn's Disease: A Cautionary Tale

Mohan P. Devbhandari, FRCS*,a, Lucia Raco, MDa, Mark T. Hendrickse, FRCPb, Andrew J. Duncan, FRCS CTha

a Department of Cardiothoracic Surgery, Blackpool, United Kingdom
b Department of Medicine, Gastroenterology Unit, Blackpool Victoria Hospital, Blackpool, United Kingdom

Accepted for publication October 28, 2003.

* Address reprint requests to Dr Devbhandari, Department of Cardiothoracic Surgery, Blackpool Victoria Hospital, Blackpool FY3 8NR, UK
sdevbhandari{at}aol.com

We present the case of a young lady suffering from Crohn's disease who was diagnosed as having a disabling bronchoesophageal fistula. This was mistakenly thought to be due to the Crohn's disease, and surgery was declined for fear of further complications. She required multiple admissions for frequent chest infections. At review, 5 years later for a second opinion, the fistula was deemed congenital in origin. The fistula was successfully resected, and the histology confirmed the diagnosis.






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