만성 기침을 주증상으로 한 선천성 기관지-식도루 1예

Congenital Bronchoesophageal Fistula Causing Only Chronic Cough : One case

  • 주명선 (인하대학교 의과대학 내과) ;
  • 곽승민 (인하대학교 의과대학 내과) ;
  • 조철호 (인하대학교 의과대학 내과) ;
  • 신용운 (인하대학교 의과대학 내과) ;
  • 김세환 (인하대학교 의과대학 흉부외과)
  • Joo, Myung Sun (Department of Internal Medicine Inha University Hospital) ;
  • Kwak, Seung Min (Department of Internal Medicine Inha University Hospital) ;
  • Jo, Chul Ho (Department of Internal Medicine Inha University Hospital) ;
  • Shin, Yong Woon (Department of Internal Medicine Inha University Hospital) ;
  • Kim, Sae Whan (Department of Thoracic Surgery Inha University Hospital)
  • 발행 : 1996.10.30

초록

There were so many causes of chronic coughing including postnasal drip, pneumonia, nasal polyp, asthma, interstinal lung disease etc. Congenital bronchoesophageal fistula was not usually thought as cause of chronic coughing. A 46-year-old female patient suffered from chronic coughing without usual causes. Her chest X-ray viewed normally. She coughed especially after swallowing foods. So we recommended her esophagogram and it revealed broncho-esphageal fistula. She underwent surgical resection of broncho-esophageal fistula. She was well without cough after the surgery. We reported a case of congenital broncho-esphageal fistula that had caused chronic coughing without any evidence of pneumonia, malignancy, tuberculosis, bronchiectasis, inflammation, asthma, nasal polyp, etc. So we should suspect the bronchoesophageal fistula when patients cough chronically with eating, and recommend the esophagogram.

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