AN INTERESTING RARE CASE OF BENIGN CONGENITAL OESOPHAGO-BRONCHIAL FISTULA PRESENTING IN ADULTHOOD - A CASE REPORT

Congenital broncho-oesophageal fistula is a rare entity in adult patients. This anomaly may cause various symptoms such as respiratory infections, coughing bouts when eating or drinking and even hemoptysis. Even rarer than its occurrence with the above-mentioned symptoms is its presentation with bronchiectasis. Here we report a rare case of a congenital broncho-oesophageal fistula presenting with bronchiectasis in a 20-year-old male, came to us with chronic productive cough and recurrent upper respiratory infections, diagnosed incidentally on upper GI endoscopy. The condition was later confirmed on bronchoscopy and CT chest-soft tissue. The patient was treated with right thoracotomy, excision of the fistulous tract and primary repair with pedicle subcostal muscle graft. Post-op recovery was uneventful. Patient discharged on 6th post operative day with ICD.