PDF(Pubmed)
Abstract：
Bronchoesophageal fistula (BEF) is a rare, yet clinically significant, condition characterized by an abnormal connection between the bronchial tree and the esophagus. We present the case of a 25-year-old female who initially presented with symptoms of aspiration pneumonitis and was subsequently diagnosed with BEF, attributed to poorly differentiated squamous cell carcinoma. Despite initial attempts at palliative intervention through esophageal stent placement, persistent symptoms prompted further investigation, revealing the underlying malignancy. This case underscores the diagnostic challenges associated with BEF, particularly when malignancy is involved, and emphasizes the importance of a multidisciplinary approach in optimizing patient outcomes. Early recognition, thorough evaluation, and comprehensive oncological management are essential in addressing the clinical complexities posed by BEF. Further research is warranted to better understand the pathophysiology and optimal management strategies for this rare but clinically significant condition.
摘要：
支气管食管瘘（BEF）是一种罕见的，但具有临床意义，其特征是支气管树和食道之间的异常连接。我们介绍了一名25岁的女性，最初出现吸入性肺炎的症状，随后被诊断为BEF。归因于低分化鳞状细胞癌。尽管最初尝试通过食管支架置入进行姑息干预，持续的症状促使进一步调查，揭示潜在的恶性肿瘤。这个案例强调了与BEF相关的诊断挑战，特别是当涉及恶性肿瘤时，并强调多学科方法在优化患者预后方面的重要性。早期识别,全面评估，全面的肿瘤管理对于解决BEF带来的临床复杂性至关重要。需要进一步的研究才能更好地了解这种罕见但具有临床意义的疾病的病理生理学和最佳管理策略。
