Congenital bronchoesophageal fistula with Crohn's disease in an adult: report of a case

Congenital bronchoesophageal fistula in an adult: a case report and radiologic review

Congenital bronchoesophageal fistula (BEF) is rarely reported in adults in the English literature. Herein, we present a rare case of congenital BEF in a 43-year-old man that was incidentally found on esophagogastroduodenoscopy. Chest CT and barium esophagography revealed a fistula between his lower esophagus and the right lower lobe segmental bronchus. After the fistula was surgically treated, the fistula was no longer noted on follow-up barium esophagography.

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

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.

Pulmonary manifestations of inflammatory bowel disease

Extraintestinal manifestations of both Crohn's disease and ulcerative colitis (UC) have been well described, although pulmonary findings are often overlooked. We summarize the experience of more than 400 cases of pulmonary manifestations of inflammatory bowel disease (IBD). These manifestations will be categorized by disease mechanism into drug-induced disease, anatomic disease, over-lap syndromes, autoimmune disease, physiologic consequences of IBD, pulmonary function test abnormalities, and nonspecific lung disease. We intend to provide the clinician with a practical working update on the spectrum of pulmonary dysfunction associated with IBD.